Department of Radiology, Duke University Medical Center, DUMC BOX 3808, 2301 Erwin Rd, Duke North, Room 1502, Durham, NC 27710, USA.
Clin Imaging. 2022 Apr;84:98-103. doi: 10.1016/j.clinimag.2022.01.011. Epub 2022 Feb 11.
Our diagnostic radiology (DR) program lacked a formalized, structured process for residents to learn from errors. Prior DR residency Accreditation Council for Graduate Medical Education (ACGME) survey results additionally demonstrated opportunity for improvement in resident evaluation, resources, and patient safety/teamwork. Our project's purpose was to implement and evaluate a new resident-oriented radiology morbidity and mortality (M&M) conference to enhance resident education.
All DR residents (n = 48) were surveyed regarding a new didactic M&M consisting of quarterly resident-led and faculty-moderated M&Ms. Cases for potential review were collected and stored in a REDCap database via an anonymous survey, from which resident-selected faculty curators would select 4-6 for presentation. Residents presented these cases and the group discussed applicable improvements. An anonymous survey of residents followed each conference. Relevant questions from ACGME survey data were extracted from the two years preceding the didactic M&M and the pilot year.
Before implementation, 86% of responding residents (n = 29; 60% of resident complement) supported the program, 90% expressed willingness to share their own mistakes, and 79% preferred faculty involvement. Respondents favored careful selection of faculty to promote education. At one year, 100% of respondents (n = 17; 35% of resident complement) approved of adding the didactic M&M and endorsed program continuance. All respondents expressed a willingness to share their own mistakes. There was also coincident improvement in ACGME survey data in the domains of evaluation, resources, and patient safety/teamwork.
We designed and implemented a resident-oriented M&M conference that resulted in increased resident confidence and impacted ACGME survey results in evaluation, resources, and patient safety/teamwork.
Implementation of a structured, resident-oriented radiology M&M conference can increase resident confidence and impact ACGME survey results in the domains of evaluation, resources, and patient safety/teamwork.
我们的诊断放射学（DR）项目缺乏一个让住院医师从中吸取错误教训的规范化、结构化流程。先前的 DR 住院医师毕业后医学教育认证委员会（ACGME）调查结果还表明，在住院医师评估、资源和患者安全/团队合作方面有改进的机会。我们项目的目的是实施和评估一项新的以住院医师为导向的放射科发病率和死亡率（M&M）会议，以加强住院医师教育。
对所有 48 名 DR 住院医师进行了一项新的教学式 M&M 调查，该 M&M 包括每季度由住院医师主导、教员主持的 M&M。通过匿名调查收集潜在审查病例，并将其存储在 REDCap 数据库中，由住院医师选定的教员策展人从中选择 4-6 个进行展示。住院医师展示这些病例，然后小组讨论适用的改进措施。每次会议后，对住院医师进行匿名调查。从实施教学式 M&M 前两年和试点年的 ACGME 调查数据中提取了相关问题。
在实施前，86%的应答住院医师（n=29；占住院医师总数的 60%）支持该项目，90%的人表示愿意分享自己的错误，79%的人更喜欢教员参与。受访者赞成仔细挑选教员以促进教育。一年后，100%的应答者（n=17；占住院医师总数的 35%）赞成增加教学式 M&M，并支持项目继续进行。所有应答者都表示愿意分享自己的错误。ACGME 调查数据在评估、资源和患者安全/团队合作方面也有了相应的改善。
我们设计并实施了一项以住院医师为导向的 M&M 会议，这不仅增加了住院医师的信心，还影响了 ACGME 在评估、资源和患者安全/团队合作方面的调查结果。
实施以结构化、以住院医师为导向的放射科 M&M 会议可以提高住院医师的信心，并影响 ACGME 在评估、资源和患者安全/团队合作方面的调查结果。
