In 2022, the Accreditation Council on Graduate Medical Education (ACGME) began requiring residency programs to provide instruction and experience in pain management for internal medicine trainees. Residency program directors were surveyed in 2019 about whether and how they provide instruction and experience to residents in safe opioid prescribing (SOP) and treatment of opioid use disorder (OUD). Most programs required didactic learning, but few required clinical experience. Given that the ACGME requirement is now in place, the researchers suggest many programs may be ill-prepared to meet the requirement.

Terminology can negatively influence commitment to change that drives improvement effort success. This commentary discusses the weaknesses of the term “implicit bias,” in that it is too general in nature to result in tangible reduction of structural racism in health care.

Overnight coverage creates opportunities for increasing resident autonomy but can carry risks for patient safety.  This study found that the presence of overnight hospitalists was associated with fewer resident barriers to contacting supervising physicians overnight but that other barriers during overnight coverage – such as technological barriers and organizational culture – influence residents seeking help from supervising physicians.

… likely due to decreased reporting burden. … Delio J, Catalanotti JS, Marko K, Paul C, Taffel M, Ho G, Berger J. Integrating adverse event reporting into a …

This survey of internal medicine attending and resident physicians found that few received instruction on reporting diagnostic errors or discussing diagnostic errors with patients. The authors recommend improving training in order to enhance reporting and communication about diagnostic errors.

… of their diagnosis and the plan of care . This study's findings are supported by prior research in the emergency … to patient harm is discussed in this AHRQ WebM&M commentary . …