Safety Work: Patient Safety in Medical Residency Training

Run time: 2016-2019

Project description

This PhD project focuses on how patient safety plays out in hospital practice, particularly focusing on the training of medical residents. In recent years, residency training has shifted from a master-mate system and learning-by-doing, to a competency-based system with frequent assessment of resident’s knowledge and skills. Patient safety is a central concern; working hours have been restricted to 48 hours on average to prevent fatigue, and residents increasingly practice in skills labs before encountering ‘real patients’—mirroring a wider shift to a system approach on patient safety. How does this work out in daily practice, how do residents learn to deal with patient safety and what does ‘safety’ actually mean to them? These are central concerns of this PhD research, which is a collaboration with Maastricht University and the University of Amsterdam (Academic Medical Center Amsterdam).

Team

Guusje Bressers (PhD candidate), Iris Wallenburg, Kiki Lombarts, Renee Stalmeijer, Mirjam Oude Egbrink

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