5. Maximize our education, research and academic health sciences potential

The Kingston General Health Research Institute is dedicated to building innovative partnerships and pursuing research excellence through a collaborative approach that leverages the combined strengths of our partners from the Kingston hospitals and Queen's University. This year, KGHRI is leading an initiative to establish a unified Kingston-wide Health Research Institute in which we can all work together to generate and translate new knowledge into effective therapies, treatments, and best practices that will benefit patients everywhere.

Each year, Kingston Health Sciences Centre welcomes more than 100 medical residents who spend several years with us, caring for patients at both sites, while completing their training to become full physicians. This year, they will be trained and assessed using a new model called competency-based medical education (CBME); Queen's University is the first school in North America to implement it across all of its specialty programs at once. In this new system, residents will be promoted not based on the amount of time they spend in each clinical rotation, but rather when they have achieved competency in the clinical tasks and activities expected of them at each stage of their training. Over the course of the year, KHSC will work together with Queen's School of Medicine to implement the new model, respond to feedback and continuously improve the system.

By 2019:

The Kingston-wide Health Research Institute is a legally-incorporated entity with charitable status and approved for the purposes of Scientific Research and Experimental Development Credits

Patients, families and staff contribute to medical education in all areas of KHSC through participation in Competency-Based Medical Education

In 2017-18 TOGETHER WOTH PATIENTS AND FAMILIES, we will:

KHSC meets commitments to support the creation of the Kingston-wide Health Research Institute

KHSC implements the in-hospital components of Competency-Based Medical Education (CBME) and develops a framework to evaluate the application of CBME principles within inter-professional education

How are we doing?

Research institute:

A new Integrated Kingston Health Research Institute (IRI) will be able to leverage economies of scale, combine resources and develop priorities that should lead to greater optimization of financial resources, stronger research outcomes and greater visibility for health research in Kingston. This formal partnership between the Kingston hospitals and Queen’s will be the first of its kind in Canada. Over the last three years, Ernst & Young (EY) have been working with the university and hospital academic partners outlining the essential steps to operationalize a new research entity (Phase 1) and creating a detailed design of the IRI (Phase 2).

The three original Hospital boards (Kingston General Hospital, Hotel Dieu Hospital and Providence Care) and Queen’s Board of Trustees gave approval in Fiscal 2017, to proceed with establishing the IRI as a non-share capital corporation with charitable status and to develop draft operating, partnership and affiliation agreements to be presented to the now two Hospital Boards (Kingston Health Sciences Centre and Providence Care) and Queen’s Board of Trustees for approval in the Fall of 2017. Pending approval, permission will be requested to proceed with developing the documentation necessary to file for CRA accreditation as an approved research institute for the purposes of Federal and Provincial tax credits.

In Q1, endorsement and approval was obtained from the two Hospital CEOs and Queen’s Faculty of Health Sciences’ Dean to rehire EY to assist with the creation of the new IRI (Phase 3).  A local IRI project management team was identified to work with EY, and the IRI’s Phase 3 initiatives and activities were identified in a detailed work plan.

As of the end of Q1, we have implemented all milestones we planned to achieve during this quarter.  Once operational, the IRI will support growth and success in key areas of research, facilitate the recruitment and retention of top‑notch clinical and non‑clinical scientists, as well as the brightest students, and trainees. The IRI will also be a major contributor to the sustainability of health research in Kingston. The Kingston hospitals and Queen’s University have a long history of research collaboration, but in today’s competitive research landscape, the need for strategic partnerships that go beyond traditional research collaborations has become essential.  To continue to produce world‑class, collaborative research  academic health sciences centres need to evolve and come together to ensure competitiveness and sustainability, advance innovation, transform and intensify research prominence, and have an impact on health systems.

 

Competency based medical education:

The Competency Based Medical Education (CBME) change management plan was very active in the year preceding its introduction on July 1st 2017. The wireless infrastructure provided by the hospital for electronic reporting of performance is functioning satisfactorily.

The introduction of this large scale change in postgraduate education has, to date, been more seamless than could have been envisaged. All Queen's postgraduate training programs simultaneously implemented the CBME approach on July 1st, 2017.