Martinez and colleagues surveyed residents and medical students for experiences, behaviors, and attitudes regarding medical errors and disclosure. Medical errors had been observed by most learners and committed by many learners. On the positive side, the vast majority of learners had seen a senior team member disclose a medical error to a patient. On the negative side, many learners had seen a senior team member evade responsibility for an error or deliver verbal abuse following an error. Negative role-modeling had the largest negative effect on attitudes toward error disclosure; training on response to errors and positive role-modeling had positive effects on attitudes. Koch and colleagues report that 11 of 193 third-year medical students, writing anonymously, reported strong negative reactions to poor transitions of care which they observed. –Laura Willett, MD
Koch PE, Simpson D, Toth H, Marcdante K, Densmore E, Young S, Weisgerber M, Morzinski JA, Havas N. Clinical clerkship students’ perceptions of (un)safe transitions for every patient.
Acad Med. 2014 Mar;89(3):477-81.
Martinez W, Hickson GB, Miller BM, Doukas DJ, Buckley JD, Song J, Sehgal NL, Deitz J, Braddock CH, Lehmann LS. Role-modeling and medical error disclosure: a national survey of trainees.
Acad Med. 2014 Mar;89(3):482-9.