title: Reducing oral and maxillofacial surgery resident risk exposure: lessons from graduate medical education reform.
abstract: It is estimated that, in the United States, more than 40,000 patients are injured each day because of preventable medical errors. Although numerous studies examine the causes of medical trainee errors and efforts to mitigate patient injuries in this population, little research exists on adverse events experienced by oral and maxillofacial surgery (OMFS) residents or strategies to improve patient safety awareness in OMFS residency programs. The authors conducted a retrospective literature review of contemporary studies on medical trainees' reported risk exposure and the impact of integrating evidence-based patient safety training into residency curricula. A review of the literature suggests that OMFS residents face similar risks as medical trainees in medical, surgical, and anesthesia residency programs and may benefit from integrating competency-based safety training in the OMFS residency curriculum. OMFS trainees face particular challenges when transitioning from dental student to surgical resident, particularly related to their limited clinical exposure to high-reliability organizations, which may place them at higher risk than other medical trainees. OMFS educators should establish resident competence in patient safety principles and system improvement strategies throughout the training period.
authors: 15263 E. Sage Dr., Fountain Hills, AZ 85268; drsbuhrow@gmail.com.
authors: Suzanne Morse
authors: SM
authors: Buhrow
authors: Jack A
authors: JA
authors: Buhrow
mesh_terms: D004503:Education, Medical, Graduate; D006801:Humans; D007396:Internship and Residency; D019300:Medical Errors / Q000517:prevention & control*; D061214:Patient Safety; D012308:Risk Management; D013515:Surgery, Oral / Q000193:education*; D014481:United States
keywords: medical errors; oral and maxillofacial surgery; patient safety training; postdoctoral dental education