Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events.

Purpose: Residents' reflections on quality improvement (QI) opportunities are poorly understood. The authors used the Mayo Evaluation of Reflection on Improvement Tool (MERIT) to measure residents' reflection scores across three years and to determine associations between reflection scores and resident and adverse patient event characteristics.

Method: From 2006 to 2009, 48 Mayo Clinic internal medicine residents completed biannual reflections on adverse events and classified event severity and preventability.

Relationship between critical reflection and quality improvement proposal scores in resident doctors.

Objectives: transformative learning theory supports the idea that reflection on quality improvement (QI) opportunities and the ability to develop successful QI projects may be fundamentally linked. We used validated methods to explore associations between resident doctors' reflections on QI opportunities and the quality of their QI project proposals.

Methods: eighty-six residents completed written reflections on practice improvement opportunities and developed QI proposals.

Validation of a method to measure resident doctors' reflections on quality improvement.

Objectives: Resident reflection on the clinical learning environment is prerequisite to identifying quality improvement (QI) opportunities and demonstrating competence in practice-based learning. However, residents' abilities to reflect on QI opportunities are unknown. Therefore, we developed and determined the validity of the Mayo Evaluation of Reflection on Improvement Tool (MERIT) for assessing resident reflection on QI opportunities.

Internal medicine resident self-report of factors associated with career decisions.

Background: Little is known about factors contributing to the career decisions of internal medicine residents.

Objective: To evaluate factors self-reported by internal medicine residents nationally as important to their career decisions.

Design: Cross-sectional survey conducted in October of 2005, 2006, and 2007 as part of the national Internal Medicine In-Training Examination (IM-ITE).