Anyone who has spent time in a QI-heavy institution knows what QI means: bureaucratic heavy-handedness by non-clinical or hardly-clinical know-it-alls who make a job for themselves by selling snake-oil, the miracle cure-all for all that is evil in the medical world, i.e. individual clinician decision-making.
Avoid these places like the plague, because they reward drones, and punish the free-thinking innovators.
Like I said in my initial reply, you don't need QI experience at one of these snake-oil places to figure out how to improve your own practice, or figure out deficiencies/inefficiencies in the system, and recommend alternatives.
Frankly, the more you work in a place like that, the less likely you will be able to figure out QI in the real world, because your worldview will be tainted. You will think QI means whatever the dogma of your old institution held. You will try to translate your past experience into your future job. Your colleagues will see through it and will detest you for the corporate bullcrap you bring to the table.
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Value of QI experience at Virginia Mason
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