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The Accreditation Council for Graduate Medical Education requires integration of quality improvement and patient safety education into graduate medical education (GME). The authors created a novel “Swiss Cheese Conference” to bridge the gap between GME and hospital patient safety initiatives. Residents investigate a specific patient safety event and lead a monthly multidisciplinary conference about the case. Resident presenters introduce the Swiss cheese model, present the case and their findings, and teach a patient safety topic. In groups, participants identify contributing factors and discuss how to prevent similar events. Presenters and stakeholders immediately huddle to identify next steps. The Swiss Cheese Conference has increased participants’ comfort analyzing safety issues from a systems perspective, utilizing the electronic reporting system, and launching patient safety initiatives. The Swiss Cheese Conference is a successful multidisciplinary model that engages GME trainees by integrating resident-led, case-based quality improvement education with creation of patient safety initiatives.

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Introduction: Asian Americans make up a sizable minority in the US, with Chinese currently making up the largest subgroup. However, despite this fact, the majority of Chinese women in North America underutilize Pap testing and carry a disproportionately higher rate of invasive cervical cancer. It has been suggested that certain cultural beliefs and practices can interfere with Western health care utilization among newly arrived immigrant communities. Methods: Fifteen hundred thirty-two women ages 20 to 69 from Seattle, Washington and Vancouver, BC were interviewed in person in 1999, and data from 993 participants were analyzed. Results: Women who observed postpartum rituals or who believed that certain aspects of their rituals help prevent them from obtaining cervical cancer did not show an underutilization of Pap testing. However, other factors, such as having a car in the household, speaking English, or being married, were highly predictive of Chinese women's Pap test utilizations. Discussion: Based on these findings, postpartum practices do not seem to negatively influence Pap test utilization among Chinese women in North America. Instead, clinicians serving Chinese in North America should focus more on economic, language, and acculturation as potential barriers for their patients' health care utilization.