Changing the Narrative of Traditional M&M: Gratitude and Good Outcomes Rounds in Surgical Practice

We instituted "Gratitude and Good Outcomes Rounds" at our tertiary academic surgical program - a novel reflective practice that was a counterpoint to traditional M&M. We evaluated trainee and faculty participation and impressions.

Over a year, we asked for regular submissions and presentations of patient cases where successes (e.g. excellent clinical outcomes, commendable teamwork, resident wins) were identified and reviewed.

We instituted this at a tertiary academic center with a general surgery residency and multiple subspecialty fellowships.

Submissions were invited from trainees and faculty, and all program members were surveyed.

Many different cases were submitted across most subspecialties. Our survey identified perceived benefits in collegiality, educational value and morale.

We believe reflection on cases that went well can be a useful addition to reflective learning, as a complement to our existing reviews at M&M in our traditional conferences. Reflecting on good outcomes can help boost morale, encourage teamwork and highlight educational pearls.