Increasing Pediatric Morning Report Educational Value Through Quality Improvement

Area of Science:

• Medical Education
• Quality Improvement Science
• Graduate Medical Education

Background:

• Morning report (MR) is a cornerstone case-based conference in graduate medical education.
• Participant dissatisfaction with the educational value of MR is a growing concern.
• Data on effective strategies for improving MR quality and satisfaction are limited.

Purpose of the Study:

• To enhance the quality and participant satisfaction of morning reports within an academic pediatric residency program.
• To implement and evaluate a standardized MR process incorporating core educational elements and structured mentorship.

Main Methods:

• Utilized improvement science methodologies to develop and implement a new standardized pediatric MR process.
• Integrated 5 core educational elements and structured resident-faculty mentorship into the MR format.
• Assessed educational elements via feedback forms and run charts; surveyed residents and faculty on MR quality and satisfaction pre- and post-intervention.

Main Results:

• The median score for core educational elements increased from 3 to 5.
• Resident reporting of high-quality MR improved from 50% to 72% (P = .20), and faculty reporting from 29% to 85% (P <.001).
• Satisfaction with MR content significantly increased for residents (50%-89%, P = .03) and faculty (25%-67%, P <.001), with notable improvements in mentorship and feedback satisfaction.

Conclusions:

• Improvement science provides a framework for developing effective graduate medical education processes.
• The integration of core educational elements and structured mentorship demonstrably enhanced pediatric morning report quality and participant satisfaction.