Background: In our practice of mortality and morbidity conference, we realized that many adverse outcomes could be prevented or stopped in earlier stages, if the medical team knew some vital and basic practical points.
Methods: Hence, we designed a new assessment plan to evaluate each clinical course in two stages. Passing the first stage “Bonn” exam is a must before entering the second stage. In the second stage, the medical trainee would be evaluated as previously. In this regard, the first stage should be updated every year, depending on mortality and morbidity report as feedback. We enrolled 37 senior medical students and 21 laboratory sciences students in the study who were able to pass “Bonn” exam successfully. The study began at the entrance to the pediatric, surgery ward, emergency room and clinical laboratory in Vali-Asr hospital affiliated to Fasa University of Medical Sciences. We compared these groups with the same groups in the last year.
Results: The rate of medical error was significantly reduced in the group that was able to pass “Bonn” exam. The score of OSCE exam was significantly higher than in the last year.
Conclusion: capability to pass “Bonn” exam as an essential tool to enter the second traditional exam can significantly help medical trainees to graduate more competently. It is our opinion that this assessment system might be able to significantly reduce the mortality and morbidity rate as well as treatment costs.