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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.

Unmet Needs
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.