Med Education UK Presents: Lessons Learned

Medical Education UK is pleased to announce the return of Lessons Learned, the 4th annual not-for-profit medical education conference focused on challenging cases where diagnostic and therapeutic mistakes were encountered.

No physician is infallible and clinical mistakes will be faced over the course of any professional career. Lessons Learned creates an environment facilitating the sharing and reflection of common or unforeseen errors, creating an excellent learning platform.

Covering four core medical specialties, each session consists of four short presentations by trainees describing their personal experiences of encountering clinical error. Sessions are chaired by a lead consultant who has been selected as a expert in their field. The consultant lead will chair discussion following each case and speak on mistakes commonly made in their specialty.

This progressive approach to education has been exceptionally well received by previous attendees.

4 Medical specialties:

  • Cardiology (Dr Robert Smith MD, Harefield Hospital, Middlesex)
  • Respiratory (Dr Menzies-Gow PhD, FRCP, The Royal Brompton Hospital, London)
  • Urology (erectile dysfunction rimedi erboristici)
  • Gastroenterology ( )
  • Acute Medicine (Dr Beth Graf MRCP, St Peters Hospital, Chertsey)

Please register today to attend this unique conference centred on the sharing of personal experiences at a National level.

National prize certificates awarded to best oral and poster presentations - Submit your abstract today

Early bird deadline: 26th November 2016
Abstract submission deadline: 16th December 2016
Results of abstract selection process released: 9th January 2017
Conference Date: 22th February 2017

Lessons learned will be held again at The National Liberal Club, London. We would be delighted if you would join us for a three-course dinner in the evening (additional supplement is required).

Early Bird (before November 26, 2016):   £80    |    Standard:  £100    |    Dinner Supplement:  £35


  • To create a secure and supported environment to reflect on personal experience of encountering medical error.

  • To create an educational platform to facilitate learning from the mistakes of others.

  • To offer an opportunity for trainees to present at a National level.

  • To create a forum for trainees to network and meet consultants in their chosen specialty.


Wednesday 22th February, 2017

National Liberal Club

Whitehall Place London, Greater London, SW1A 2HE

Nearest underground station: Embankment

  • Formal: as per The National Liberal Club rules men must wear a jacket and tie, with women encouraged to dress smartly.

  • Jeans and trainers are not permitted.

  • All doctors with GMC membership are welcome to attend.

  • Abstracts selection for presentation will be judged on clinical relevance.

  1. Submitted abstracts will be reviewed by the course executive and judged on clinical relevance. The top four abstracts in each session will be invited to present as an oral presentation. Other notable submissions will be invited to present as a poster presentation.
  2. Abstracts must describe the case history, highlight problems encountered and the details of how mistakes/difficulties were addressed. Please include the outcomes from any local/ national governance meetings where applicable. Please conclude with key lessons learnt from the experience.
  3. Each abstract is limited to 250 words. Please only include standard abbreviations.
  4. Abstracts must be submitted using the online REGISTRATION portal.
  5. REGISTRATION and payment for the conference is required for a submitted abstract to be considered for presentation*

    • Abstract submission deadline:   16th December 2016
    • Results of abstract selection process released:   9th January 2017
    • Conference Date:   22th February 2017

*If your submission is not accepted for poster or oral presentation and you no longer want to attend your registration fee can be refunded. Refund will only be made in respect to cancellations made more than three weeks prior (01/02/17) to the course date (22/02/17). An administration fee of £5 will be payable.

Example case - An unusual risk factor in a patient with a myocardial infarction

A 43 year - old gentleman with rheumatoid arthritis requiring biologic therapy presented to A&E with epigastric pain and vomiting. The patient had no chest pain or traditional cardiovascular risk factors.

A baseline ECG demonstrated left bundle branch block only, with no other dynamic changes. The patient was reviewed by the acute medicine SHO and admitted with gastroenteritis. Several hours later, a secondary review was performed by the medical registrar. Suspicious of the story, he reviewed the notes and found an earlier ECG performed by the ambulance crew, which demonstrated normal sinus rhythm without evidence of bundle branch block.

A troponin was added and found to be significantly raised. The patient's pain by this stage had resolved, as he had undergone a completed myocardial infarction. He was deemed not appropriate for emergency PCI - thereby missing the window for optimal therapy.

In summary, this patient had a significant cardiovascular risk due to rheumatoid arthritis. He presented with an atypical history and abnormal ECG, which in retrospect should have been identified and treated immediately.

Learning points:

  1. ECGs demonstrating possible ischaemic changes should always be reviewed in the context of a previous baseline whenever possible.
  2. Rheumatoid arthritis is an independent and significant cardiac risk factor.


Lessons Learned

reflecting on challenging cases

  • It is unwise to be too sure of one's own wisdom. It is healthy to be reminded that the strongest might weaken and the wisest might err.