Background: The majority of medical students indicate that the health policy and health systems education they receive is insufficient, even though they will face barriers to practicing care at the systems level. In addition, there is little uniformity or evaluation of pedagogical approaches to health policy in undergraduate medical education, especially in connecting health policy [...]

Background: The year 2020 was pivotal for physician trainees. The harrowing disparities in SARS-CoV-2 infection and deaths left many trainees with a sense of anguish and urgency for working towards health equity. However, surveys of Internal Medicine residents have shown that their knowledge of healthcare disparities is poor, with minimal improvement and exposure during training. [...]

Background: When the Accreditation Council for Graduate Medical Education established new regulations for resident work hours, this resulted in an increase in patient handoffs and discontinuity of care in residency training, necessitating resident rotations requiring night cross-cover.(1,2) The annual survey of clerkship directors in 2014 showed only 38.7% of students experience nights during their clerkship [...]

Background: Interprofessional Education (IPE) is an accreditation requirement for pharmacy, nursing, physician assistant (PA), and medical schools. Developing quality IPE learning activities that are meaningful and relevant to all learners can be challenging due to different levels of exposure and training in the discipline-specific curriculum. Purpose: We developed an interprofessional quality improvement/patient safety (QI/PS) workshop [...]

Background: At Thomas Jefferson University Hospital (TJUH) in Philadelphia, Pennsylvania, 4th year medical students can complete an elective in Perioperative and Consultative Medicine. The Farber Hospitalist Division is a unique Hospital Medicine Division in the Department of Neurosurgery that runs the medicine consult service and specializes in neurosurgical co-management at both TJUH Main Campus and [...]

Background: Though the ACGME dictates that Internal medicine residents should be exposed to the domains of quality improvement (QI) and medical education (Med Ed), most residency programs provide limited opportunities to develop these skills. Furthermore, most existing hospital medicine electives which attempt to cover these topics are 4 weeks in length. Purpose: We sought to [...]

Background: The traditional Morbidity and Mortality Conference (MMC) is known for its punitive aspects. Some programs have met the ACGME Internal Medicine (IM) requirement for MMC or Quality Improvement (QI) conferences by focusing on general principles of patient safety. We describe the impact of a QI-based MMC on resident perceptions of psychological safety and the [...]

Background: The diagnostic process, inherently fraught with uncertainty and susceptible to errors, has been associated with adverse outcomes when physicians exhibit lower tolerance for uncertainty (1,2). The Diagnostic Time-Out (DTO) serves as a structured tool to outline a problem representation, prioritize the differential diagnosis, and communicate diagnostic uncertainty in high-risk situations for diagnostic errors. In [...]

Background: Clinical handbooks support patient care, with studies demonstrating positive effects in areas such as quality of chart documentation, clinical knowledge, and value of inpatient care. Internal medicine residents rotating through inpatient services are particularly likely to benefit from handbooks, especially when handbooks share local, system-specific, and practical guidance. However, less is known about how [...]