title: To keep an incessant watch.
abstract: Medical residency is an educational enterprise directed toward producing clinicians who recognize and correctly manage disease. While formal graduate medical education provides didactics and bedside teaching to improve knowledge, individual learning efforts are essential to the educational experience. Keeping track of patient outcomes after disposition from the emergency department (ED) is a useful exercise in reviewing gaps in knowledge of the individual and deficiencies in systems-based care. In reviewing the agreement between admission and discharge diagnoses of a single resident over 4 years of residency, significant improvement in diagnostic accuracy was observed. This method of self-correction has potential to supplement formal residency education in emergency medicine.
authors.affiliation: Department of Emergency Medicine, Vanderbilt University, Nashville, TN, USA. kurt.a.smith@vanderbilt.edu
authors.forename: Kurt A
authors.initials: KA
authors.lastname: Smith
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003951:Diagnostic Errors; D004635:Emergency Medicine / Q000193:education*; D004636:Emergency Service, Hospital; D006801:Humans; D007396:Internship and Residency; D007858:Learning