• Jill J Fussell, Henry C Farrar, Richard T Blaszak, and Laura L Sisterhen.
• Developmental Pediatrics, University of Arkansas for Medical Science, Little Rock, Arkansas 72202, USA. FussellJillJ@uams.edu
• Teach Learn Med. 2009 Jul 1; 21 (3): 233-9.

BackgroundThe 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.DescriptionWe 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.EvaluationPreliminary data indicate that our residents preferred this revised method for conducting Morbidity and Mortality Conference.ConclusionOur 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.

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