Hey everyone, this is going to be the fourth and final episode in the Career Series, at least for now.

And for this episode with the American College of Physicians, we are diving into the world of quality improvement or QI. Today there's a bunch of names for it,

QI, quality assurance, QA, quality and safety, Q&S, but it all comes down to the same thing, thinking about the health care system in which

you work in and how to make it better.

So for this episode, we're not going to get into the technical stuff, the fishbone diagrams,

lean, PDSA cycles.

This episode is about crafting a career in quality and safety.

First, we will get into, how do most people get started in this path? Then we'll get into what are some of the areas of expertise that are needed to be successful in QI?

Next, what does a typical day look like in QI depending on which hat you wear?

And then we'll end with some tough conversations on in QI depending on which hat you wear.

And then we'll end with some tough conversations on what are the challenges that can come

with QI work and how do you navigate it.

I'm Dr. Schreacher Betty and here it is.

The better you are at quality and safety, the better clinician, the better leader you will be.

To me, it's about understanding what you need to do to facilitate change.

We in health care cannot compete on patient safety. You must share our lessons learned.

How did it get this way? Why is it like this? Is there anything I can do to make it better?

If you are a clinical chief, medical director, if you are just a great duck you should learn this as a core

competency. When I spoke to our expert discussants I quickly realized if there were to be a so-called illness

script for how careers and quality improvement usually happen, it often starts with a moment

of frustration or curiosity about something that's not working well in the system.

For Dr. Maureen Battaldin, now the chief quality officer at Cambridge Health,

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