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Graduate Medical Education and Patient Safety
TO THE EDITOR:
I read with interest the excellent Quality Grand Rounds article on graduate medical education by Shojania and colleagues (1). Although I work at a small (100-bed), community-based, semirural, nonteaching hospital, I was struck by the similarity of the case to a recent root-cause analysis performed at my hospital. These similarities include an unreported, unlooked-for imaging study; “anchoring bias” (2); lack of a structured sign-out system; lack of communication between the admitting and covering physicians; …
