Developmental Pediatrics, University of Arkansas for Medical Science, Little Rock, Arkansas 72202, USA.
Teach Learn Med. 2009 Jul;21(3):233-9. doi: 10.1080/10401330903018542.
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.
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.
Preliminary data indicate that our residents preferred this revised method for conducting Morbidity and Mortality Conference.
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.
毕业后医学教育认证委员会（ACGME）要求住院医师接受六大核心教育能力的培训。实践学习与改进（PBLI）是这六大能力之一，被定义为对自身患者护理的调查和评估。病亡率和发病率会议是经常用来审查住院患者临床结果的场所，为教授和评估 PBLI 提供了机会。
我们报告了一种病亡率和发病率会议的方法，包括对 ACGME 核心能力的系统分析及其在临床病例中的应用，对定义高质量患者护理的因素的定期审查，以及对 PBLI 能力的重点讨论。
初步数据表明，我们的住院医师更喜欢这种改进后的病亡率和发病率会议方法。
我们对病亡率和发病率会议的改编提供了对核心能力及其与临床决策相关性的系统审查，最终目标是改善患者护理。
