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A Resident Conference for Systems-Based Practice and Practice-Based Learning

Sultana, Carmen J. MD; Baxter, Jason K. MD, MSCP

doi: 10.1097/AOG.0b013e318203e582
Current Commentary

Improving patient safety and quality of care is part of systems-based practice and practice-based learning for residents. We expanded our obstetrics and gynecology department's regularly scheduled morbidity and mortality conferences to teach quality assurance concepts based on patient care on obstetrics and gynecology fourth-year resident rotations. Obstetrics and gynecology fourth-year residents on one of the two rotations each presented and analyzed a systems-based problem they encountered during patient care. They used an online learning module and proposed solutions, many of which were effectively implemented. Over 5 years, case presentations from 33 conferences were available with problems identified in emergency preparedness, coordination of care, scheduling and supervision, communication, medical practice, documentation, and lack of equipment or facilities. Twenty-two of the suggested solutions were partially or totally implemented. Barriers to implementation were identified. In conclusion, a conference presentation by fourth-year residents can identify patient safety problems, aid in their resolution, and suggest changes to patient care while teaching the principles of systems-based practice and practice-based learning.

A resident conference examining systems-based patient care issues can teach Accreditation Council for Graduate Medical Education competencies and suggest structural changes in the care of patients.

From the Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, Pennsylvania.

Corresponding author: Carmen J. Sultana, MD, 834 Chestnut Street Suite 400, Philadelphia, PA 19107; e-mail:

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2011 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.