Kravet Steven J, Howell Eric, Wright Scott M
Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Gen Intern Med. 2006 Nov;21(11):1192-4. doi: 10.1111/j.1525-1497.2006.00523.x.
Morbidity and Mortality (M&M) Conferences are an Accreditation Council for Graduate Medical Education (ACGME) mandated educational series that occur regularly at all institutions that have residency training programs. The potential for learning from medical errors, complications, and unanticipated outcomes is immense--provided that the focus is on education, as opposed to culpability. The education innovation described in this manuscript is the manner in which we have used the ACGME Outcome Project's 6 core competencies as the structure upon which the cases discussed at our M&M conference are framed. When presented at grand rounds in a novel format, M&M conference has not only maintained support for the quality improvement efforts in the Department, but has served to improve the educational impact of the conference.
发病率与死亡率(M&M)会议是研究生医学教育认证委员会(ACGME)规定的教育系列活动,在所有设有住院医师培训项目的机构定期举行。从医疗差错、并发症和意外结果中学习的潜力巨大——前提是重点在于教育,而非追究责任。本手稿中描述的教育创新是我们利用ACGME成果项目的6项核心能力作为框架,来组织我们M&M会议上所讨论病例的方式。当以一种新颖的形式在大查房中呈现时,M&M会议不仅持续支持了该科室的质量改进工作,还提升了会议的教育影响力。