Skip to content

MEdIC Series: Case of the M&M Shame Game – Expert Review and Curated Community Commentary


Our third case of season 5, The Case of the M&M Shame Game, presented the scenario of a junior faculty member who had significant reservation about presenting at M&M Rounds after a colleague’s recent “public shaming.”

The MEdIC team (Drs. Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, Eve Purdy, John Eicken, Alkarim Velji, and Brent Thoma), hosted an online discussion around the case over the last 2 weeks with insights from the ALiEM community. We are proud to present to you the curated commentary and our expert opinions. Thank-you to all participants for contributing to the very rich discussions surrounding this case!

Our next case will be posted at the end of January 2018 so the MEdIC team would like to take this opportunity to wish all of our readers a safe and happy holiday season and all the best in the New Year!

This follow-up post includes

  • Responses from our solicited experts:
    • Dr. Shawn Mondoux (@DrShawnQI) is an Assistant Professor at McMaster University, an Emergency Physician, and a Quality Improvement Specialist at Hamilton Health Sciences. His interests include education in quality improvement, ED flow improvement, and building capacity for greater improvement. He is, above all, a health system optimist.
    • Dr. Edmund Kwok (@eddeestyle) is an FRCPC Emergency Physician, Assistant Professor at the University of Ottawa, Director of Quality Improvement within the Department of Emergency Medicine at The Ottawa Hospital, and Clinician Investigator at the Ottawa Hospital Research Institute. His interests include quality and patient safety and change management.
    • Dr. Lisa Calder (@dr_lisa_calder) is an emergency physician who undertook her 5-year residency at the University of Ottawa. She has also completed a fellowship in patient safety in Emergency Medicine from the Society for Academic Emergency Medicine and the Emergency Medicine Patient Safety Foundation, and the American Hospital Association’s fellowship in patient safety leadership. Dr. Calder is also an affiliate investigator in the Emergency Medicine Research Department of the Ottawa Hospital Research Institute’s Clinical Epidemiology Program. She is an Associate Professor at the University of Ottawa’s Department of Emergency Medicine. She currently is the CMPA’s Director of Medical Care Analytics.
    • Dr. Jeremiah (Jay) Schuur (@JSchuurMD) is a practicing emergency physician with a research focus on health care quality and policy. He is the Chief of the Division of Health Policy Translation and the Vice Chair of Clinical Affairs for the Department of Emergency Medicine at the Brigham and Women’s Hospital.
  • A summary of insights from the ALiEM community derived from the Twitter and blog discussions
  • Freely downloadable PDF versions of the case and expert responses for use in continuing medical education activities
Expert Response 1: The OM3 Model: Building a Reliable and Resilient M&M System (Drs. Shawn Mondoux, Edmund Kwok, Lisa Calder)
Expert Response 2: To Name or Not to Name, that is the Question: Anonymity in M&M (Dr. Jeremiah Schuur)
Curated from the Community (Dr. Alkarim Velji)

Case and Responses for Download

Click here (or on the picture below) to download the case and responses as a PDF (682 kb).

Tamara McColl, MD FRCPC

Tamara McColl, MD FRCPC

Associate Editor, ALiEM MEdIC Series
Emergency Physician, St. Boniface Hospital, WRHA
Academic Lead, Educational Scholarship
Department of Emergency Medicine
University of Manitoba