Table 1 Examples of quality of care issues identified at each M & M rounds
CanMEDS role | Rounds topic | |||
|---|---|---|---|---|
Cardiac abnormality | Immune deficiency | Acidosis | Thalamic tumor | |
Medical expert | Missed cardiac anomaly | Not recognize symptoms of immunodeficiency | Lack of consideration of toxic ingestion as possible cause | Interpretation of laboratory results |
Diabetes insipidus management | ||||
Communicator | Explanation to parents re severity/bad news | Coordination between subspecialties | Transfer of information between services | Poor interprofessional communication |
No phone call from lab with abnormal methanol level | Poor disclosure of information to parents | |||
Collaborator | Collaboration between multiple disciplines | Referral to general pediatrics when outside scope of subspecialty | Collaborating with other teams re differential diagnosis and labs | Collaboration with radiology to have MRI done urgently |
Professional | Good notekeeping needs to be done especially about information/conversations with family | |||
Health advocate | Ensuring comprehensive continuity of care | Advocacy for investigating other diagnoses | Pushing for earlier investigations if deemed appropriate | |
Scholar | Considering differentials for lymphadenopathy/splenomegaly | Knowledge of methanol ingestion signs | ||
Manager | Time to operation | Who is in charge of results | Asking for imaging earlier if high likelihood of mass | |
Lack of follow up of abnormal results | ||||