Commentary describes the ACGME's new focus on ensuring trainees' engagement in safety and quality, and raises concerns about unintended consequences.Acad Med. 2014 Jul 22; [Epub ahead of print].
Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals?
Myers JS, Nash DB. Acad Med. 2014 Jul 22; [Epub ahead of print].
The Clinical Learning Environment Review (CLER) program was developed to evaluate the performance of teaching institutions in six key areas that affect patient outcomes. This commentary describes how poorsafety culture in clinical practice can counteract the effect of educating medical students about quality and safety principles. The authors note unintended consequences of the CLER program and strategies to avoid them.
"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.
Greysen SR, Schiliro D, Curry L, Bradley EH, Horwitz LI. J Gen Intern Med. 2012;27:1188-1194.
"Excuse me:" teaching interns to speak up.
O'Connor P, Byrne D, O'Dea A, McVeigh TP, Kerin MJ. Jt Comm J Qual Patient Saf. 2013;39:426-431.
Graded autonomy in medical education—managing things that go bump in the night.
Halpern SD, Detsky AS. N Engl J Med. 2014;370:1086-1089.
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Inpatient safety outcomes following the 2011 residency work-hour reform.
Block L, Jarlenski M, Wu AW, et al. J Hosp Med. 2014;9:347-352.