High practice variability in critical care medicine contributes to medical errors and the high cost of ICU care. Clinical guidelines and protocol-based strategies can reduce the variation and cost of ICU medicine, increase adherence to evidence-based interventions, and reduce error, thereby improving the morbidity and mortality of critically ill patients. There are various barriers to guideline adherence, and protocols often are more successful when implemented by nonphysicians. However, this has potential consequences for house-staff knowledge and education. This article discusses the implications of mechanical ventilation protocols on patient care and medical education, and this article offers suggestions for synchronizing the processes for improving patient care to improve medical education.
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Introduction: Medical education focuses on the biochemical origins, pathophysiologic pathways, diagnosis and treatment of human illnesses. While this educational training attempts to be all-encompassing, oral health and the associated pathologies are not commonly emphasized in medical training. Disparities in oral health have detrimental effects on systemic disease and impacts patient well-being.
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Department of Medical Education Research and Development, Institute of Science Tokyo, Bunkyo-ku, Tokyo, Japan.
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Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3 East Qingchun Road, Hangzhou, Zhejiang, 310016, P.R. China.
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