Incorporating the ACGME educational competencies into morbidity and mortality review conferences

Teach Learn Med. 2009 Jul;21(3):233-9. doi: 10.1080/10401330903018542.


Background: The Accreditation Council for Graduate Medical Education (ACGME) mandates that residents be trained in six core educational competencies. Practice-based learning and improvement (PBLI), one of the six competencies, is defined as the investigation and evaluation of one's own patient care. Morbidity and Mortality Conference, a frequently used venue to review the clinical outcome of hospitalized patients, provides the opportunity to teach and assess PBLI.

Description: We report an approach to Morbidity and Mortality Conference that includes a systematic analysis of the ACGME core competencies and their application to a clinical case, a regular review of the factors that defines high-quality patient care, and a focused discussion of the PBLI competency.

Evaluation: Preliminary data indicate that our residents preferred this revised method for conducting Morbidity and Mortality Conference.

Conclusion: Our adaptation to Morbidity and Mortality Conference provides a systematic review of the core competencies and their relevance to clinical decision making, with the ultimate goal of improving patient care.

MeSH terms

  • Accreditation
  • Clinical Competence*
  • Congresses as Topic*
  • Curriculum
  • Decision Making
  • Education, Medical, Graduate / standards*
  • Educational Measurement / standards
  • Humans
  • Internship and Residency
  • Morbidity
  • Mortality
  • Pediatrics / education*
  • Problem-Based Learning
  • Program Evaluation