Training Courses in Improvement Skills





Stanford Medicine offers two in-depth introductory courses for faculty, trainees, and staff wishing to learn more about improvement work. The Clinical Effectiveness Leadership Training (CELT) program and the Realizing Improvement Through Team Empowerment (RITE) courses are each offered twice per year. Multidisciplinary teams apply with a problem in their practice area that they are passionate about making better for patients and families.

Both CELT and RITE train learners to use Lean methodology to make local improvements in practice. This standardized approach includes:

  • Clearly stating a problem statement
  • Explaining the background that makes others feel the pain of the problem
  • Setting a specific, measurable, achievable, relevant, and timebound goal
  • Measuring the current state
  • Analysis the contributors to the problem
  • Identifying the key drivers that if addressed would improve the current state
  • Linking interventions to those key drivers
  • Establishing a plan to sustain improvement

Most CELT or RITE projects emerge from the Improvement Capability Development Program annual project proposals. Otolaryngology faculty members, trainees, and staff interested in learning more about CELT or RITE may contact Edward Damrose, MD, FACS.



In September 2020, the Stanford Medicine Center for Improvement launched the Advanced Course for Improvement Science (ACIS). ACIS is open to Stanford faculty and staff who have graduated from the CELT course. Unlike CELT and RITE, individuals—and not teams—apply to participate in ACIS. This intensive course includes approximately 160 hours of course work on topics ranging from design thinking to project management to adaptive leadership. There is extensive reading required outside of the course work. Teams of participants meet weekly to discuss these readings and their quality improvement projects.