Resident Physicians Leading Culture Change in Healthcare

David Mayer
David Mayer MD, Vice President of Quality and Safety for MedStar Health

By Dr. David Mayer

First Posted on Educate the Young on 10/25/2013

David Mayer MD, Vice President of Quality and Safety for MedStar Health
David Mayer MD, Vice President of Quality and Safety for MedStar Health

I continue to enjoy following all the quality and patient safety work being led across the country by resident physicians. Many have come into healthcare with a much different perspective regarding quality, safety and outcomes than my generation did years ago. Be it the daily focus by the media on preventable medical errors, required transparency of outcomes, or the newer reimbursement models based on quality and safety, this new generation of physicians is asking the right questions and looking for the right solutions. It is why the premise “Educate the Young” is such a critical component to any enduring culture change.

In this spirit, we want to share another wonderful example of how resident physicians are changing the landscape of quality and safety in healthcare for the better. The AAMC webinar highlighted below,The House Staff Patient Safety Council: Creating a Culture of Safety and Openness, is being led by Nate Margolis and Say Salomon, both Telluride Patient Safety Summer Camp Scholar Alums, who are helping inspire resident physicians on how to lead change in their own academic institutions. What a great example of “pushing it forward”.

Date and Time: Wednesday, October 30, 2013 3:00 pm ET

Duration:  1 Hour

Description: In support of the Best Practices for Better Care Initiative commitment area to teach quality and patient safety to the next generation of doctors, this webinar will spotlight two institutional approaches to creating a culture of safety and openness by leveraging House Staff Patient Safety Councils to improve care processes and outcomes.

House staff patient safety councils create a culture of safety, engage residents in process improvement, and help satisfy ACGME requirements. A successful resident driven project will be described in which the distribution of badge buddies, incident report guidelines, and an incident reporting presentation increased house staff adverse event reporting in a 3-hospital academic program. In addition, the Safety Council activities and outcomes from Woodhull Medical Center will be shared. Some examples of their core projects include: the triaging of critical care value from an ambulatory care clinic, standardization of hand off processes and just culture conferences to improve quality of care delivered to its patients.


–Nate Margolis, M.D., is a chief resident in Radiology and the co-chair of the House Staff Patient Safety Council at NYU, Bellevue & Manhattan VA hospitals
–Say Salomon Jr., M.D., is an Associate Chief Resident in Internal Medicine at Woodhull Medical and Mental Health Center

To register, click here.  It should be a great discussion!

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David Mayer MD is Vice President of Quality and Safety for MedStar Health and is responsible for overseeing the infrastructure for clinical quality as well as for designing and directing systemwide patient safety and risk reduction programs for MedStar and each of its entities. Dr. Mayer founded and has led the Annual Telluride International Patient Safety Roundtable and Patient Safety Student Summer Camp for the last eight years. He regularly presents and writes on topics related to quality and patient safety for Educate the Young, and has received grant funding from the United States Department of Education, the Agency for Healthcare Research and Quality, and the Anesthesia Patient Safety Foundation.


  1. This is great but I don’t think that Residents are leading the change. I believe we must credit nurses with this role.