NEJM Resident 360 QI Challenge

NEJM Resident 360 QI Challenge

Thank you to everyone who participated in The Challenge. All submitted posters are available for viewing on the Submissions page, and the winners are listed at the top. We encourage everyone in the NEJM Resident 360 community to view the posters and hope you find inspiration for future projects. We appreciate all participants’ efforts during this busy and challenging time for the medical community in the midst of the Covid-19 pandemic.

About The Challenge

QI is a systematic approach to making changes that will lead to improved patient outcomes and system performance. Formal QI training, including completion of a QI project, has increasingly become part of medical training and residency programs worldwide. The goal of the NEJM Resident 360 QI Challenge (The Challenge) is to provide a venue for residents and fellows to share their QI projects with a global audience and receive feedback while also inspiring ideas for future projects.

Looking for more background on QI? Read the NEJM Resident 360 Expert Consult post on QI.

Listen to a Curbside Consult podcast about the Challenge.

Everyone is encouraged to participate by reviewing and commenting on submitted posters. Follow The Challenge to stay informed of news, updates, and important deadlines.


How It Works

Register Your Team

  1. Teams must register before submitting their abstract.
  2. One “Team Leader” is responsible for registering the team and submitting their abstract.
  3. All team members must be residents or fellows at the time the project was performed.

Submit Your Abstract

  1. Abstracts must be based on resident-led QI projects performed and completed within the past two years (January 1, 2018–January 31, 2020).
  2. For this Qualifying Round, abstract submissions will be accepted on a rolling basis, beginning on March 1, 2020, and closing after the first 100 approved abstracts are received, or at 3:00 PM ET on March 31, 2020, whichever comes first.
  3. The Team Leader is responsible for submitting their abstract to
  4. Review abstract guidelines, eligibility, and judging criteria.

Create Your Poster

  1. Team Leaders will be notified on April 15, 2020 whether their abstract was accepted or not and provided with a link to download the poster template.
  2. Accepted abstracts must be submitted in poster form by May 15, 2020 by 3:00 PM ET.

Challenge Round

  1. All submitted posters will be available for the NEJM Resident 360 community to view and comment on by May 18, 2020.
  2. The top 10 posters, as determined by our judges, will be announced on June 1, 2020.
  3. Judges will publicly comment on the top 10 posters from June 1–June 15, 2020.
  4. Find out more about our judges and how the posters are scored. Find out more about our judges and how the posters are scored.

Winners Announced

  1. Winners will be announced on June 15, 2020 at 12:00 PM ET.
  2. The winning team will be given the opportunity to write an article about their project for the NEJM Catalyst website, a one-year subscription to NEJM Knowledge+ Internal Medicine, Pediatrics, or Family Medicine for up to 12 residents in their residency program, a one-year subscription to NEJM Online + iPad for each team member, an engraved winner’s commemorative plaque for their program, NEJM Resident 360 branded prizes, and bragging rights.
  3. Second- and third-place teams will receive an engraved commemorative plaque for their program and NEJM Resident 360 branded prizes.
  4. Team members of the top 10 posters will receive NEJM Resident 360 branded prizes.
  5. All teams that submitted a poster will receive a certificate of participation and their poster will be archived on NEJM Resident 360.


What Makes a Good Submission?

Projects should demonstrate suitable engagement with the QI process and utilization of established QI research techniques to make changes that will lead to better patient outcomes and system performance. These features are highlighted in the following key areas:


Was a problem clearly defined? What was the existing knowledge of the problem? Why was the problem chosen? What did you hope to achieve?


Description of a clear set of methods, interventions, and measurements including rationale and stakeholder identification.


Utilization of PDSA cycles. Did your intervention evolve over time and with results? Were there any unexpected outcomes?


How did you evaluate and interpret your intervention? What did the results mean for the project and were there any implications for the future?



Evaluation Criteria

Qualifying Round

Which abstract submissions will be invited as posters? Participants must submit a 500-word abstract summarizing their QI project in the format described in the Squire 2.0 Guidelines. Abstracts may include one figure or table, but no references. Submitters who do not complete the Qualifying Round are not eligible for the Challenge Round.

Challenge Round

High ranking entries will utilize established QI research techniques to provide the most clinically useful or novel information as determined by a committee of QI experts. Winning posters will be clearly presented and include descriptions of the problem studied, stakeholder identification, interventions, PDSA cycles, and intervention evaluation.

All entries will be judged by a panel of experts representing the quality improvement community.

Additionally, all submissions will be open to the public for crowdvoting from June 1–15, 2020. Followers of The Challenge will be allowed to cast one a crowdvote for their favorite entry.



Important Dates

  • February 5, 2020 – Registration opens

  • March 1–March 31, 2020 – Team Leaders email the team’s abstract submission to

  • April 15, 2020 – Team Leaders with accepted abstracts notified

  • May 15, 2020 – Invited posters due

  • May 18, 2020 – Posters published and open for comment

  • June 1, 2020 – Top 10 finalists named and open for voting

  • June 15, 2020 – Winners announced!


Drs. Jeffrey Drazen, Namita Seth Mohta, and Brian Wong are esteemed members of the NEJM Resident 360 QI Committee responsible for overseeing the development of the contest. Other participants of the QI Committee are the 2019-20 NEJM Editorial Fellows, Drs. Krista Nottage, Ken Wu, and Ahmad Zaheen.



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