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Goals and Metrics achieved by quality leaders, managers, program managers

Hospital and GME program goals and metrics translate to the quality of residency and fellowship training as well as patient care. These can be determined and achieved collectively by hospital leaders, Program Directors and Faculty. Examples include time and resources dedicated to program improvement, training, pathway development, a healthy workforce that supports residents and fellows and organizational goals such as patient safety and quality of care.

The role of the Program Manager is to ensure that residency and fellowship program goals are met and reported with accuracy and efficiency, with a focus on resident and fellow education, clinical competency development, resident/fellow well-being, program efficiency, and compliance with accreditation standards, with measurable metrics such as board pass rates, resident satisfaction scores, timely completion of rotations, and quality improvement project outcomes.

Examples of goals:

  • Ensure residents and fellows achieve a high level of clinical competency in all required specialties
  • Achieve a 100% first attempt pass rate on board examinations for all graduating residents
  • Increase the number of residents and fellows presenting research and scholarly activities at a national conference by 10% within the next year

Examples of Metrics:

  • Board pass rates on the first attempt
  • In-training exam scores
  • Completion of required rotations
  • Number of resident/fellow-led quality improvement projects
  • Number of resident/fellow scholarly activities, projects, or publications

Data collection:

  • Collect and analyze data to track progress toward goals and identify areas for improvement

Goal Setting:

  • Set SMART goals to ensure effective monitoring and evaluation
  • Specific: The goal clearly states what will be done and who will do it
  • Measurable: The goal includes how progress will be measured
  • Achievable: The goal is realistic and attainable
  • Relevant: The goal makes sense and fits the purpose
  • Time-bound: The goal has a deadline
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