title: Incorporating the ACGME educational competencies into morbidity and mortality review conferences.
abstract: 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.
  
  
  METHODS
  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.
  
  
  RESULTS
  Preliminary data indicate that our residents preferred this revised method for conducting Morbidity and Mortality Conference.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Developmental Pediatrics, University of Arkansas for Medical Science, Little Rock, Arkansas 72202, USA. FussellJillJ@uams.edu
authors.forename: Jill J
authors.initials: JJ
authors.lastname: Fussell
authors.forename: Henry C
authors.initials: HC
authors.lastname: Farrar
authors.forename: Richard T
authors.initials: RT
authors.lastname: Blaszak
authors.forename: Laura L
authors.initials: LL
authors.lastname: Sisterhen
mesh_terms: D000068:Accreditation; D002983:Clinical Competence; D003226:Congresses as Topic; D003479:Curriculum; D003657:Decision Making; D004503:Education, Medical, Graduate / Q000592:standards*; D004521:Educational Measurement / Q000592:standards; D006801:Humans; D007396:Internship and Residency; D009017:Morbidity; D009026:Mortality; D010372:Pediatrics / Q000193:education*; D018794:Problem-Based Learning; D015397:Program Evaluation