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Learning from medical errors

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In the complex and dynamic world of healthcare, medical errors, while regrettable, are an inevitable part of the learning process. The impact of such errors transcends beyond immediate patient care, resonating emotionally and professionally with healthcare providers. Yet, it is not the occurrence of these errors, but our response to them, that truly defines the trajectory of medical excellence. Through strategic approaches like education, simulation, debriefing, constructive feedback, peer support, and mentorship, the interventional radiologist has the potential to transform these setbacks into powerful learning opportunities, ensuring not only the enhancement of patient safety but also the professional growth of the interventional radiologist. There are intrinsic and extrinsic factors involved in the process of using medical errors for education purposes. In this manuscript we will discuss the following strategies of education, stimulation, debriefing, constructive feedback, peer support, and mentorship to learn from medical errors.


Education is crucial in the field of interventional radiology as it plays a fundamental role in preventing and addressing medical errors. Medical errors, which can range from diagnostic mistakes to procedural complications, and have profound implications for patient safety, quality of care, and healthcare costs. Adequate and continuous education of the interventional radiologist serves as a proactive measure to address these issues. Let's examine the relationship between education and medical errors:

Foundational knowledge

Interventional radiologists require a solid educational foundation in radiology, anatomy, and physiology. This ensures that they are well-versed in the standard protocols, techniques, and best practices specific to their field. A strong foundational knowledge reduces the likelihood of basic mistakes during procedures [1].

Skill development and competency

Hands-on training and simulation-based education are essential for interventional radiologists. These practical teaching methodologies help them develop and refine their procedural skills. Competency in performing complex interventions is crucial for minimizing errors that may arise from technical incompetence [2].

Continuous Medical Education (CME)

Interventional radiology is a rapidly evolving field with continuous advancements in technology and techniques. CME programs are essential to keep interventional radiologists updated with the latest guidelines, equipment, and findings. Staying current with best practices is vital to providing safe and effective care [3].

Cultural competence

Interventional radiologists must be culturally competent to provide patient-centered care. Education in cultural competence ensures that they can offer interventions that respect the diverse backgrounds, beliefs, and values of their patients, reducing the risk of errors due to misunderstandings or misalignment [4].

Teamwork and communication

Effective communication and collaboration within multidisciplinary healthcare teams are critical in interventional radiology. Educational programs that emphasize teamwork and communication help prevent errors resulting from communication breakdowns among healthcare professionals involved in a patient's care [5].

Understanding and addressing errors

Similar to other healthcare fields, interventional radiology teams should engage in post-procedure debriefings, root cause analyses, and reflective practices. These educational tools encourage the team to learn from any procedural errors, understand their root causes, and develop strategies to prevent their recurrence in the future [6].

Patient education

Educating patients about interventional radiology procedures, potential risks, and post-procedure care is essential for reducing errors. Informed patients can actively participate in their care, follow pre-procedure instructions accurately, and help identify any concerns or complications early on [7].

Systematic reviews and research

Educational research within interventional radiology can identify common areas where errors occur and propose evidence-based interventions. This research contributes to the overall improvement of safety in the field [8].

Technology and informatics

Education on the effective use of imaging technology, specialized equipment, and electronic health records (EHRs) is crucial for interventional radiologists. Proper training can reduce errors related to imaging interpretation, procedure documentation, and patient data management [9].

In conclusion, education is a fundamental component of interventional radiology practice and is instrumental in preventing and addressing medical errors. By ensuring that interventional radiologists are well-trained, up-to-date, and equipped with the right skills and knowledge, the field can significantly enhance patient safety during minimally invasive procedures.


Simulation in the context of medical training and education is a powerful tool for enhancing patient safety and reducing medical errors in the field of interventional radiology. Simulation-based education provides interventional radiologists with a controlled environment to practice clinical skills, make mistakes, learn from them, and refine their techniques without posing any risk to real patients. Here's a more detailed look at the relationship between simulation and medical errors:

Skill acquisition and refinement

Interventional radiologists perform intricate and minimally invasive procedures, such as angioplasty and stent placement. Simulations provide a controlled environment for these specialists to practice these procedures repeatedly, refine their techniques, and build muscle memory, thereby reducing the risk of technical errors during actual interventions [10].

Team training

Many interventional radiology procedures involve a multidisciplinary team, including radiologic technologists, nurses, and anesthesiologists. Simulation scenarios can help improve teamwork and communication among team members, ensuring that everyone understands their roles and responsibilities. Effective teamwork reduces the likelihood of errors during procedures [11].

Decision-making and critical thinking

Simulation-based scenarios challenge interventional radiologists to make rapid and well-informed decisions. These scenarios can mimic real-life situations where unexpected complications or anatomical variations occur, requiring quick thinking and adaptation. Practicing in a simulated environment enhances their ability to make critical decisions during actual procedures, ultimately reducing diagnostic and therapeutic errors [12, 13].

Exposure to rare but critical events

Interventional radiologists may encounter rare and life-threatening complications during procedures, such as vascular perforations or contrast reactions. Simulations can expose them to these uncommon events, helping them develop the skills and confidence to manage such situations effectively and minimize potential errors [14, 15].

Feedback and debriefing

Debriefing sessions following simulation scenarios are vital in interventional radiology training. They allow participants to review their performance, identify any errors or suboptimal techniques, and discuss strategies for improvement. This reflective process helps interventional radiologists learn from their mistakes and apply corrective actions in real clinical settings [16, 17].

Reducing patient harm

The ability to practice and refine interventional radiology skills in a simulated environment reduces the risk of errors that could harm patients during actual procedures. By honing their skills and decision-making abilities in simulations, interventional radiologists enhance patient safety in clinical practice [18, 19].

In summary, simulation-based training in interventional radiology is a powerful approach to improving patient safety and reducing medical errors. It provides interventional radiologists with the opportunity to develop and enhance their technical skills, teamwork, decision-making abilities, and preparedness for rare but critical events. Through simulation, interventional radiologists can better serve their patients and minimize the risks associated with complex minimally invasive procedures.


Debriefing is an essential component in the medical field, particularly when addressing medical errors. It offers the interventional radiologist an opportunity to reflect on their actions, decisions, and outcomes in a structured and supportive environment. Debriefing provides a constructive avenue for understanding the causes of errors, learning from them, and identifying strategies to prevent future occurrences. Here’s how debriefing relates to medical errors:

Identification and acknowledgment

Debriefing sessions in interventional radiology create a safe space for team members to openly acknowledge any errors or unexpected outcomes that occurred during a procedure. This candid acknowledgment is the first step in addressing and rectifying medical errors, fostering a culture of transparency and accountability [20].

Analyzing the root causes

In interventional radiology, where complex procedures are performed, errors can have multifaceted causes. Debriefings allow the healthcare team to delve deeper into the reasons behind the error, examining both immediate factors (e.g., procedural steps) and systemic factors (e.g., equipment, protocols). This thorough analysis helps identify the root causes and contributes to the development of targeted solutions [21].

Promotion of open communication

Effective debriefing in interventional radiology encourages team members, including radiologists, technologists, and nurses, to share their perspectives and experiences. Open communication ensures that all team members have a comprehensive understanding of the event and its contributing factors, facilitating a more thorough analysis [22].

Development of corrective actions

Once the causes of errors are understood through debriefing, the interventional radiology team can collaboratively develop corrective actions. These actions may involve revising protocols, enhancing communication strategies, implementing additional safety checks, or adjusting procedural techniques. The goal is to prevent similar errors from occurring in future procedures [23,24,25].

Enhancing learning and professional growth

Debriefing sessions in interventional radiology serve as valuable learning opportunities. Team members can reflect on their performance, share insights, and collectively improve their skills, knowledge, and behaviors. This continuous learning process contributes to reducing the likelihood of errors and enhancing patient safety [26].

Emotional support and coping

Medical errors in interventional radiology can have emotional consequences for healthcare professionals involved, including radiologists, nurses, and technologists. Debriefing provides a supportive environment where individuals can express their feelings, share their experiences, and receive emotional support from their colleagues. This support is essential for addressing the emotional impact of errors and promoting well-being among team members [27,28,29].

In summary, debriefing is an essential component of addressing medical errors in interventional radiology. It facilitates error identification, root cause analysis, open communication, corrective action development, continuous learning, and emotional support. By embracing debriefing as a structured and supportive practice, interventional radiology teams can improve patient safety, enhance the quality of care, and ensure the well-being of healthcare professionals involved in complex procedures.

Constructive feedback

Constructive feedback plays a pivotal role in the context of medical errors. It provides an avenue for promoting understanding, encouraging learning, and facilitating improvements in clinical practice. Constructive feedback focuses on guiding the interventional radiologist toward optimal patient care by analyzing mistakes in a non-punitive manner and suggesting actionable solutions. Let's delve into the significance of constructive feedback concerning medical errors:

Error recognition and accountability

In interventional radiology, where precise procedures are performed, constructive feedback helps healthcare professionals recognize errors and take ownership of their actions. It creates an environment where professionals can acknowledge mistakes without fear of punitive measures, promoting a culture of transparency and accountability [30].

Facilitation of continuous learning

Constructive feedback is a catalyst for continuous learning in interventional radiology. It allows radiologists, technologists, and other team members to analyze errors, understand their root causes, and acquire new knowledge and skills to improve future patient care. Learning from mistakes is a cornerstone of professional growth [31].

Promotion of open dialogue

Open communication is vital in interventional radiology to ensure the safety of patients. Constructive feedback encourages team members to openly discuss errors, share perspectives, and collaborate on solutions. This open dialogue is crucial for addressing errors comprehensively and preventing their recurrence [32].

Reduction of future errors

Through constructive feedback, healthcare professionals can identify specific areas where errors occurred and work on targeted improvements. This proactive approach helps reduce the likelihood of similar errors happening in future interventional radiology procedures [33].

Encouragement of reflection

Feedback prompts self-reflection among interventional radiology professionals. It allows them to critically assess their actions, decision-making processes, and procedural techniques. This reflection is essential for identifying areas where improvement is needed [34].

Strengthening of clinical competence

Constructive feedback serves as a tool to strengthen clinical competence in interventional radiology. By highlighting areas of strength and offering guidance on areas of weakness, it enables professionals to enhance their skills and knowledge [35].

Building of resilience and coping mechanisms

Medical errors in interventional radiology can be emotionally challenging. Constructive feedback provides a supportive environment where healthcare professionals can cope with the emotional impact of errors. This support contributes to building resilience and the ability to bounce back from adverse events [36].

In summary, constructive feedback in interventional radiology is integral to error recognition, learning, and continuous improvement. It fosters an environment where errors are seen as opportunities for growth and where patient safety remains paramount. Through constructive feedback, interventional radiology teams can enhance their skills, reduce the risk of errors, and ultimately provide the best possible care to their patients.

Peer support

Peer support in the context of medical errors is a critical component in ensuring the well-being of interventional radiologists and fostering a culture of continuous learning and patient safety. When a medical error occurs, the interventional radiologist involved can experience profound emotional distress, often termed the "second victim" phenomenon. Peer support programs can offer understanding, empathy, and guidance during these challenging times. Let's explore the relationship between peer support and medical errors:

Mitigating the "Second Victim" phenomenon

Medical errors in interventional radiology can have a significant emotional impact on healthcare professionals, including radiologists, technologists, and nurses. The "second victim" phenomenon is particularly relevant in this context. Peer support programs provide a safe space for these professionals to share their experiences, emotions, and challenges, helping them cope with feelings of guilt, shame, and anxiety that may arise after an error [6].

Promotion of open dialogue

Peer support programs within interventional radiology create a culture of open and non-judgmental communication. Healthcare professionals can freely discuss errors they have been involved in, ensuring that they do not feel isolated or hesitant to seek help or share their experiences. This open dialogue is crucial for understanding the circumstances surrounding errors and learning from them [37].

Facilitating learning and growth

Peer discussions about medical errors offer valuable opportunities for interventional radiology professionals to gain insights, reflect on their actions, and identify areas for improvement. By learning from each other's experiences, they can collectively work to prevent the recurrence of similar mistakes and enhance patient safety [38].

Enhancing resilience

Peer support fosters a sense of camaraderie and solidarity among interventional radiology colleagues. This support network can bolster resilience and help professionals navigate the challenges of their practice, ultimately enabling them to bounce back more robustly after adverse events [39].

Cultural shift towards patient safety

Peer support programs contribute to a cultural shift within interventional radiology, emphasizing patient safety over blame. By encouraging open discussions about errors and their underlying causes, these programs promote a collective commitment to improving healthcare delivery and minimizing the risk of future errors [40].

Reintegration into clinical practice

Following a significant medical error, some interventional radiology professionals may feel apprehensive about returning to clinical duties. Peer support can play a crucial role in the reintegration process, ensuring that individuals receive the necessary support, guidance, and feedback to regain their confidence and competence in clinical practice [41].

In conclusion, peer support programs in interventional radiology are essential for addressing the emotional and professional challenges that arise in the aftermath of medical errors. By providing understanding, empathy, and a platform for shared learning, these programs contribute to the well-being of healthcare professionals and the continuous improvement of patient safety in the field of interventional radiology.


Mentorship in the field of interventional radiology plays a significant role in shaping the approach, understanding, and management of medical errors. Through guidance, expertise, and support, mentors help their mentees navigate the complex world of healthcare, including the inevitable challenges associated with medical mistakes. Here's an exploration of the interplay between mentorship and medical errors:

Education and prevention

Experienced IR mentors possess a wealth of knowledge and expertise in performing complex procedures. They can share their own experiences, including any past errors or near-misses, with their mentees. This sharing of insights and strategies helps mentees develop a deep understanding of potential pitfalls, enhancing error prevention efforts [42,43,44].

A safe space for reflection

In interventional radiology, where precision and patient safety are paramount, encountering a medical error can be emotionally challenging for a young practitioner. Mentorship provides a safe and confidential space for the mentee to discuss the error, reflect upon it, and gain perspective without fear of judgment. This reflective process is essential for personal and professional growth [45, 46].

Building resilience

Medical errors can have a lasting impact on the emotional well-being of IR practitioners. Mentors draw from their own experiences to help mentees develop coping mechanisms and emotional resilience. They offer guidance on how to navigate the emotional aftermath of errors, ensuring that mentees can bounce back and continue providing high-quality care [47].

Navigating systemic challenges

Healthcare systems can sometimes contribute to errors in interventional radiology. Experienced mentors are well-versed in the intricacies of these systems and can guide mentees in recognizing and addressing systemic factors that may lead to errors. Together, they can work toward systemic improvements that enhance patient safety [48].

Promoting a culture of accountability and learning

Effective mentorship in interventional radiology instills a culture where medical errors are seen as opportunities for learning and growth, not just as individual failures. Mentors emphasize the importance of taking responsibility for errors and actively engaging in continuous improvement efforts to enhance patient safety [49, 50].

Emotional and professional support

Encountering a medical error can be a defining moment in an IR practitioner's career. Mentors provide both emotional and professional support, helping mentees navigate feelings of guilt, self-doubt, or anxiety. This support ensures that mentees can continue their career progression and remain committed to patient safety [51, 52].

In conclusion, mentorship in interventional radiology plays a crucial role in addressing and learning from medical errors. Through guidance, reflection, and unwavering support, mentors assist mentees in transforming challenging experiences into opportunities for growth, learning, and systemic improvement. The mentor–mentee relationship fosters a culture within IR that prioritizes patient safety, continuous learning, and the personal and professional development of IR practitioners.


Learning from medical errors is not merely a process but a commitment to continuous improvement in healthcare. Implantation of these strategies can provide a safer environment for patients and interventional radiologists and accurately identify safety challenges while implementing a plan through education, training, and teamwork rather than a culture of blame, fear, and punishment to negate medical errors. By leveraging strategies such as education, simulation, debriefing, constructive feedback, peer support, and mentorship, we can instill a culture where mistakes are no longer stigmatized but are seen as catalysts for growth. Such an environment promotes transparency, collaboration, and resilience, ensuring that each error becomes a bridge towards a more competent and compassionate healthcare system. Embracing these strategies not only safeguards our patients but also nurtures and supports the interventional radiologist dedicated to their care.

Availability of data and materials

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  1. Young JQ, Ranji SR, Wachter RM, Lee CM, Niehaus B, Auerbach AD. “July effect”: impact of the academic year-end changeover on patient outcomes: a systematic review. Ann Intern Med. 2011;155:309–15.

  2. Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306:978–88.

    Article  CAS  PubMed  Google Scholar 

  3. McMahon GT. Advancing Continuing Medical Education. JAMA. 2015;314:561–2.

    Article  CAS  PubMed  Google Scholar 

  4. Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O 2nd. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003;118:293–302.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Coolen E, Draaisma J, Loeffen J. Measuring situation awareness and team effectiveness in pediatric acute care by using the situation global assessment technique. Eur J Pediatr. 2019;178:837–50.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320:726–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155:97–107.

    Article  PubMed  Google Scholar 

  8. Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139.

    Article  PubMed  Google Scholar 

  9. Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc. 2004;11:104–12.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005;27:10–28.

    Article  PubMed  Google Scholar 

  11. Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23:359–72.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Ziv A, Wolpe PR, Small SD, Glick S. Simulation-based medical education: an ethical imperative. Simul Healthc. 2006;1:252–6.

    Article  PubMed  Google Scholar 

  13. Weersink K, Hall AK, Rich J, Szulewski A, Dagnone JD. Simulation versus real-world performance: a direct comparison of emergency medicine resident resuscitation entrustment scoring. Adv Simul (Lond). 2019;4:9.

    Article  PubMed  Google Scholar 

  14. Okuda Y, Bryson EO, DeMaria S Jr, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76:330–43.

    Article  PubMed  Google Scholar 

  15. Ekelund K, O’Regan S, Dieckmann P, Ostergaard D, Watterson L. Evaluation of the simulation based training quality assurance tool (SBT-QA10) as a measure of learners’ perceptions during the action phase of simulation. BMC Med Educ. 2023;23:290.

  16. Salik I, Paige JT. Debriefing the Interprofessional Team in Medical Simulation. StatPearls. Treasure Island (FL) ineligible companies. Disclosure: John Paige declares no relevant financial relationships with ineligible companies. 2023.

    Google Scholar 

  17. Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2:115–25.

    Article  PubMed  Google Scholar 

  18. Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304:1693–700.

    Article  CAS  PubMed  Google Scholar 

  19. Jones TS, Jones EL, Barnett CC Jr, et al. A Multidisciplinary High-Risk Surgery Committee May Improve Perioperative Decision Making for Patients and Physicians. J Palliat Med. 2021;24:1863–6.

    Article  PubMed  Google Scholar 

  20. Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(492):e1–8.

    Article  Google Scholar 

  21. Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: an improved model for performing root cause analyses. Am J Med Qual. 2010;25:186–91.

    Article  PubMed  Google Scholar 

  22. Rudolph JW, Simon R, Dufresne RL, Raemer DB. There’s no such thing as “nonjudgmental” debriefing: a theory and method for debriefing with good judgment. Simul Healthc. 2006;1:49–55.

  23. Whittaker E, Pathak A, Piya S, Cary L, Harden J. Peer observation of student-led teaching. Med Teach. 2023;45(11):1300–3. Epub 2023 Jul 17.

  24. Alsahafi A, Ling DLX, Newell M, Kropmans T. A systematic review of effective quality feedback measurement tools used in clinical skills assessment. MedEdPublish. 2016;2022(12):11.

    Google Scholar 

  25. Wood L, Wall D, Bullock A, Hassell A, Whitehouse A, Campbell I. “Team observation”: a six-year study of the development and use of multi-source feedback (360-degree assessment) in obstetrics and gynaecology training in the UK. Med Teach. 2006;28:e177–84.

  26. Sawyer T, Eppich W, Brett-Fleegler M, Grant V, Cheng A. More Than One Way to Debrief: A Critical Review of Healthcare Simulation Debriefing Methods. Simul Healthc. 2016;11:209–17.

    Article  PubMed  Google Scholar 

  27. Kappes M, Romero-Garcia M, Delgado-Hito P. Coping strategies in health care providers as second victims: A systematic review. Int Nurs Rev. 2021;68:471–81.

    Article  PubMed  Google Scholar 

  28. Panella M, Rinaldi C, Vanhaecht K, Donnarumma C, Tozzi Q. Di Stanislao F [Second victims of medical errors: a systematic review of the literature]. Ig Sanita Pubbl. 2014;70:9–28.

    PubMed  Google Scholar 

  29. Seys D, Wu AW, Van Gerven E, et al. Health care professionals as second victims after adverse events: a systematic review. Eval Health Prof. 2013;36:135–62.

    Article  PubMed  Google Scholar 

  30. Ende J. Feedback in clinical medical education. JAMA. 1983;250:777–81.

    Article  CAS  PubMed  Google Scholar 

  31. Archer JC. State of the science in health professional education: effective feedback. Med Educ. 2010;44:101–8.

    Article  PubMed  Google Scholar 

  32. Boehler ML, Rogers DA, Schwind CJ, et al. An investigation of medical student reactions to feedback: a randomised controlled trial. Med Educ. 2006;40:746–9.

    Article  PubMed  Google Scholar 

  33. Watling CJ, Lingard L. Toward meaningful evaluation of medical trainees: the influence of participants’ perceptions of the process. Adv Health Sci Educ Theory Pract. 2012;17:183–94.

  34. Epstein RM. Assessment in medical education. N Engl J Med. 2007;356:387–96.

    Article  CAS  PubMed  Google Scholar 

  35. Telio S, Ajjawi R, Regehr G. The, “educational alliance” as a framework for reconceptualizing feedback in medical education. Acad Med. 2015;90:609–14.

  36. Sinskey JL, Chang JM, Thornton KC, Boscardin CK, Sullivan KR. Conflict Management Education for Anesthesiology Residents: Bridging the Gap in Interpersonal and Communication Skills Competency. A A Pract. 2021;15:e01524.

    Article  PubMed  Google Scholar 

  37. Krzan KD, Merandi J, Morvay S, Mirtallo J. Implementation of a “second victim” program in a pediatric hospital. Am J Health Syst Pharm. 2015;72:563–7.

  38. Vincent CA, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. 2002;11:76–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Edrees H, Connors C, Paine L, Norvell M, Taylor H, Wu AW. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6:e011708.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Conway J, Federico F, Stewart K, Campbell M. Respectful Management of Serious Clinical Adverse Events (Second Edition). IHI Innovation Series white paper. Cambridge: Institute for Healthcare Improvement; 2011. (Available on

  41. Scott SD, Hirschinger LE, Cox KR, McCoig M, Brandt J, Hall LW. The natural history of recovery for the healthcare provider “second victim” after adverse patient events. Qual Saf Health Care. 2009;18:325–30.

  42. Daelmans HE, Hoogenboom RJ, Donker AJ, Scherpbier AJ, Stehouwer CD, van der Vleuten CP. Effectiveness of clinical rotations as a learning environment for achieving competences. Med Teach. 2004;26:305–12.

    Article  CAS  PubMed  Google Scholar 

  43. Chan SJ, Archibald HL, Conner SM. NET Rounding: a novel approach to efficient and effective rounds for the modern clinical learning environment. BMC Med Educ. 2022;22:600.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Reed S, Treinen C, Shah N, Ranalli M, Olshefski R. Utilizing a Quality Improvement Strategy to Increase Faculty Engagement With Resident Learning Goals. Acad Pediatr. 2023;23:201–8.

    Article  PubMed  Google Scholar 

  45. Goldie J. Review of ethics curricula in undergraduate medical education. Med Educ. 2000;34:108–19.

    Article  CAS  PubMed  Google Scholar 

  46. Tanveer MA, Mildestvedt T, Skjaerseth IG, et al. Peer Teaching in Undergraduate Medical Education: What are the Learning Outputs for the Student-Teachers? A Systematic Review. Adv Med Educ Pract. 2023;14:723–39.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Levine RB, Haidet P, Kern DE, et al. Personal growth during internship: a qualitative analysis of interns’ responses to key questions. J Gen Intern Med. 2006;21:564–9.

  48. Teunissen PW, Bok HG. Believing is seeing: how people’s beliefs influence goals, emotions and behaviour. Med Educ. 2013;47:1064–72.

  49. Watling C, Driessen E, van der Vleuten CP, Lingard L. Learning from clinical work: the roles of learning cues and credibility judgements. Med Educ. 2012;46:192–200.

    Article  PubMed  Google Scholar 

  50. Bearman M, Dracup M, Garth B, Johnson C, Wearne E. Learning to recognise what good practice looks like: how general practice trainees develop evaluative judgement. Adv Health Sci Educ Theory Pract. 2022;27:215–28.

    Article  PubMed  Google Scholar 

  51. Jackson VA, Palepu A, Szalacha L, Caswell C, Carr PL, Inui T. “Having the right chemistry”: a qualitative study of mentoring in academic medicine. Acad Med. 2003;78:328–34.

  52. Jung S, Rosser AA, Alagoz E. Engaging the Entire Learner: Pathway Program Administrators’ Experiences of Providing Students with Research Experiences in Academic Medicine. J Med Educ Curric Dev. 2023;10:23821205231189980.

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Gemmete, J.J. Learning from medical errors. CVIR Endovasc 7, 8 (2024).

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