For years I have struggled with the issues of quality/safety education pertaining to interns/residents (GME). As discussed in your text, many recommendations have been developed regarding this issue.

One tool often used is the Morbidity & Mortality conference (M&M) where actual patient cases are presented by the residents caring for them. In many instances the patient may have suffered a poor outcome, or even death. You might imagine the stress experienced by these doctors-in-training as they present these cases for critique to faculty and departmental conferences.

For your discussion post, review the text regarding quality education. Post how you might organize and prepare for M&Ms for the maximal amount of learning with the least amount of recrimination/blaming.