Family Medicine residents are trained in Patient Safety using a combination
of didactic, experiential, and evaluative components covering the six
ACGME competencies. Particular emphasis is given to practice-based learning
and improvement, and systems-based practice, and developing a culture
of safety. The curriculum includes introductory workshops for faculty
and residents. Residency training is enhanced by a series of didactic
courses and small group exercises including chart reviews, case presentations,
as well as a longitudinal quality improvement project. The activities
are run by a multidisciplinary team. Individual resident portfolios include
safety and polypharmacy journal.
For medical students, some elements of the above have been adapted. Currently,
in the first year, the students are given an introductory lecture that
includes basic principles. In the second year principles of error disclosure
are taught via a lecture and small group exercises in which students practice
disclosure in pairs using scripts. During the 3rd-year family medicine
clerkship, students receive a lecture on medical error anticipation, focusing
on high-risk patients. They then select a high-risk patient from their
inpatient rotation and analyze the case in detail looking at patient vulnerabilities,
process vulnerabilities, opportunities for errors, and strategies to prevent
errors. They submit this “Error Anticipation Project” online and receive
feedback from faculty.
This is an important report from the Lucian Leape Instutute at the National Patient Safety Foundation that draws attention to the needs for reforming medical education in order to improve patient safety.
Direct Link: http://www.npsf.org/LLI-Unmet-Needs-Report/index.php
Dr. Leape is aware of our pioneering published work aimed at meeting the "unmet needs" in the domains of doctors, nurses and pharmacists.