Table 1

Speciality and career trajectory of graduates from two post graduate physician fellowship programmes in healthcare quality and safety

Specialty	At the time of graduation		At the time of study
Specialty	First QIPS position after fellowship*	Level of QIPS position	No. of years from QIPS fellowship graduation†	% Clinical care*	% QIPS adminis-tration*	% Research *	% Education *
Overall: median (IQR)			3 (2 – 4)	50 (30 – 61.8)	47.5 (20 – 60)	28 (17.5 – 50)	15 (7.1 – 30.4)
Medicine and medicine subspecialties‡
1	Director of Quality and Patient Safety for Hospital Medicine	Div	2	75	25
2	Co-chair for medication safety and international patient safety consultant	Inst	2	60	27.5	12.5
3	Assistant Medical Director for Patient Safety	Inst	3	35	65
4	Medical Director of Quality and Patient Safety	Inst	1	80	20
5	n/a	n/a	3	70		30
6	Director of Quality	Inst, Div	4	50	47	2.5
7	Director of Quality	Div	2	50	50
8	n/a		3	55		22.5	22.5
9	Director, Patient Safety and Quality Improvement Pathway for Residency Programme (2)	Dept	5	22		70	7.5
10	Assistant Chief Quality Officer	Inst	2	50	50
11	n/a	n/a	7	20			80
Paediatrics and paediatric subspecialties§
12	Associate Medical Director for Patient Safety (1)	Inst	3	30.0	63		7
13	Associate Chief Clinical Officer for Quality (2)	Dept	4	20	50	30
14	Divisional Director for QI	Div	2	50	30	20
15	Director of Quality Improvement	Inst	3	30	70
16	Service Medical director, Ambulatory care (1)	Inst	4	30	20	50
17	Quality and Safety Physician Liaison	Inst	1	30	20	50
18	n/a	n/a	1	67			33
19	Lead of improvement collaborative, Medical Director of inpatient unit	Div	3	80	20
20	Associate Medical Director of Quality and Safety	Inst	4	20	60	20
Other specialties¶
21	n/a	n/a	5	30		70
22	Assistant Medical Director of Quality	Dept	2	40	60
23	Chief Quality Officer, Department of Quality and Safety chair	Inst	4	10	80	5	5
24	Assistant Chief Quality Officer	Inst	1	50	50
25	n/a		1	33		67
26	Departmental Quality Assurance and Quality Improvement (QAQI) Director	Dept	4	30	42	28
27	NSQIP Collaborative Leader	Inst, Dept	6	70	15	15
28	Quality consultant	Dept	2	85	15

*Medians and IQRs are presented.
†All positions were obtained immediately uponon completion of fellowship except where indicated in parentheses (eg, 1=position obtained 1 year after fellowship graduation; 2=position obtained 2 years after fellowship graduation, etc).
‡Medicine and medical subspecialties included general internal medicine, cardiology, endocrinology, haematology-oncology, infectious disease and nephrology.
§Paediatrics and paediatric subspecialties included general paediatrics, cardiology, critical care, endocrinology, emergency medicine, haematology-oncology, infectious disease, nephrology, rheumatology.
¶Other specialties included anaesthesia, emergency medicine, pathology, neurology and surgery.
Dept, department; Div, divisional; Inst, institutional; n/a, no specific title for QIPS obtained immediately after fellowship, examples in this category include fellows continuing in clinical fellowship or assuming an educational leadership role; QIPS, quality improvement and patient safety.