Dr. Harris closed his laptop. “I’ve reviewed 40 programs this year. Yours is the first that taught me something.”
Maya showed him the new monthly “Human Moments” M&M conference — not for medical errors, but for moments where the right answer wasn’t in UpToDate. Residents presented cases like Jamie’s. They role-played difficult conversations. They graded each other not on knot-tying speed, but on the quality of their silences. acg self assessment
But then she remembered the incident — the one that didn't fit into any Milestone checkbox. Yours is the first that taught me something
The ACGME didn’t have a Milestone for that. But Maya wrote one in anyway. They graded each other not on knot-tying speed,
Maya knelt by the patient’s bed. She didn’t recite vital signs. She held his hand and said, “Not to us. Not today.”
A self-assessment is only boring if you treat it as an audit. But if you treat it as a mirror — and dare to look closely — you might see not just what’s missing, but what’s never been named. And sometimes, naming it changes everything.