Background: In hospital medicine, around 250,000 diagnostic errors occur yearly in American hospitals and a significant proportion are attributed to failures in clinical reasoning. Feedback on the diagnostic process has been proposed as one method of improving clinical reasoning. However, in the current healthcare system barriers to the delivery and receipt of feedback include limited [...]

Background: In hospital medicine, around 250,000 diagnostic errors occur yearly in American hospitals and a significant proportion are attributed to failures in clinical reasoning. Feedback on the diagnostic process has been proposed as one method of improving clinical reasoning. However, in the current healthcare system barriers to the delivery and receipt of feedback include limited [...]

Background: Peer observation and feedback (POF) is a well-documented tool for faculty development for both medical and non-medical educators. However, in our hospital medicine division of over 150 faculty at an urban academic center, only 16 peer observations were completed in the 2022-2023 academic year as part of our division’s voluntary, formally structured peer observation [...]

Background: Unnecessary inpatient laboratory testing is common and negatively impacts patients by causing discomfort and iatrogenic anemia. Such testing also burdens a busy phlebotomy team, particularly when patients decline labs due to recency of previous checks. Audit and feedback interventions are known to reduce low value practices in medical residents, but no published study has [...]

Background: In graduate medical education, learning to provide critical feedback is a key component of developing clinical competence, professionalism, and effective team-based practice. The role of the supervising resident in offering feedback to junior learners is particularly challenging because of the near-peer relationship and the lack of formal training on this skill. Simulation is an [...]

Background: Cost associated with diagnostic testing contributes greatly to the rising cost of health care in the United States (Bindraban et al, 2018). There is evidence to suggest that up to 20% of lab testing is unnecessary (Bindraban et al, 2018).Main Line Health (MLH) is a health system in suburban Philadelphia made up of four [...]