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Impact of a Multi-site Peer-led, Storytelling-based Workshop to Teach Resident Physicians About Healing After Medical
Aniqa Azim1,2, Nilan Schnure1, Matt DiVeronica3
1Oregon Health & Science University, Portland, OR, USA.
Background:
Adverse psychological effects after medical errors are common, especially amongst residents.
Aim:
Our aim was to evaluate the impact of a single workshop on resident comfort with, skills, and behavior change after medical error.
Setting And Participants:
PGY1 Internal Medicine residents at two residency programs.
Program Description:
We used constructivism to design a peer-led, storytelling-based workshop with semi-structured small group reflections. Surveys based on Kirkpatrick's framework were given pre- and post-workshop and one site conducted a 1-year follow up survey.
Program Evaluation:
In 2023, 68 residents completed the workshop and survey, for a response rate of 90.1% (68/73). There was an increase in self-reported skills around recognizing (41% pre-, 75% post-, p = 0.001) and overcoming (37% pre-, 76% post-, p < 0.001) the effects of being involved in medical errors. A 1-year follow up survey, response rate 76% (25/33), found 71% (17/24) of residents felt somewhat/very prepared to respond to the emotional impact of errors on others, 13/24 (54%) felt their response changed due to the single medical error workshop they attended. Content analysis found that change occurred through normalizing errors and empowering discussion.
Discussion:
A single peer-led storytelling-based workshop can increase resident comfort with and understanding of the effects of medical errors on physicians with lasting effect, and promote coping with, and healing from, these events.
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