Changing the Narrative of Traditional M&M: Gratitude and Good Outcomes Rounds in Surgical Practice

Objective: We instituted “Gratitude and Good Outcomes Rounds” at our tertiary academic surgical program - a novel reflective practice that was a counterpoint to traditional M&M. We evaluated trainee and faculty participation and impressions. Design: Over a year, we asked for regular submissions and presentations of patient cases where successes (e.g. excellent clinical outcomes, commendable teamwork, resident wins) were identified and reviewed. Setting: We instituted this at a tertiary academic center with a general surgery residency and multiple subspecialty fellowships. Participants: Submissions were invited from trainees and faculty, and all program members were surveyed. Results: Many different cases were submitted across most subspecialties. Our survey identified perceived benefits in collegiality, educational value and morale. Conclusions: We believe reflection on cases that went well can be a useful addition to reflective learning, as a complement to our existing reviews at M&M in our traditional conferences. Reflecting on good outcomes can help boost morale, encourage teamwork and highlight educational pearls.