Results of qualitative inquiry of department residents (circa 2011) In view of this 1) What is role of instructor? To curate, guide, train (search strategies, to evaluate, and make judgements, weigh opinion and evidence) 2) What is role of "system"? To put in place SOP's (standard operating procedures, checklists) 3) What is role of trainee, novice practitioner? To be aware of knowledge/skill deficits, to seek advice, information, assistance, training