Table 1.

Mechanisms to support curriculum implementation.

Mechanism	Current implementation and rationale
Clear expectations of learners	Learners are expected to produce a “project proposal” by the end of the workshop. The proposal includes clear expectations such as an aims statement, quality measures, and a description of at least one plan-study-do-act cycle.
Protected time	Quality improvement (QI) teaching time is protected for all residents during the weekly academic day.
Mentorship and feedback	Residents can receive just-in-time feedback on all components of their project charter during the workshop. A supervising staff psychiatrist with an interest in education and QI is available to field questions about quality gaps and change ideas.
Curriculum leadership	The curriculum is championed by the program director of the psychiatry residency program and chair of the residency curriculum committee.
Incentives for participating	Residents interested in pursuing further work in QI can implement the project proposal, which will fulfill their residency research requirements.
Content delivery strategies	The workshop is taught using just-in-time learning through a combination of didactics, group discussion, and five breakout spaces for small groups to work on project proposals.
Education resources	Residents have access to workshop slides and their project proposals following the workshop.
Screening projects for appropriateness	Residents are taught how to select a “good” quality gap using decision matrices during the workshop. Workshop leaders elicit multiple quality gaps from trainees and help trainees choose a gap that has the potential for high clinical impact with a low workload burden. There is no formal preworkshop screening for projects.
Working in teams	Residents can work in pairs. This allows residents to receive feedback from a peer while being involved in every stage of developing a QI project proposal.