Utilizing Resident-Driven Morbidity and Mortality Conferences in the Department of Psychiatry

  • Daniel BigmanEmail author
  • Kirsy Japa
  • Consuelo Cagande
Feature: Letter to the Editor

To the editor:

Morbidity and mortality (M&M) conferences are considered powerful opportunities for learning and reflection. Traditionally, the goal is to provide a safe forum for faculty and trainees to explore the management details of particular cases wherein M&M occurred [1]. Unlike the disciplines of internal medicine and surgery, psychiatry does not have a tradition of holding M&M conferences [2]. However, the Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review (CLER) requires all residents to participate in patient safety and quality improvement programs as part of their core competencies [3]. In 2009, a study found only 9 reports in the literature over the past 40 years of psychiatric M&M endeavors [4]. While still scarce, recent literature indicate transformation of systems of care through resident-led M&M conferences to improve residency education in the areas of patient safety and quality improvement while meeting ACGME...



The authors acknowledge Krystal Hunter for assistance with statistical analysis, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, USA.

Compliance with Ethical Standards

This work was granted exemption from review by the Institutional Review Board of Cooper University Hospital, Cooper Medical School of Rowan University.


On behalf of all authors, the corresponding author states that there is no conflict of interest.


  1. 1.
    Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME’s core competencies. J Gen Intern Med. 2006;21(11):1192–4.CrossRefGoogle Scholar
  2. 2.
    Holland J. A role for morbidity and mortality conferences in psychiatry. Australasian Psychiatry. 2007;15(4):338–42.CrossRefGoogle Scholar
  3. 3.
    Walker M, Rubio D, Horstman M, Trautner B, Stewart D. Stop the blame game: restructuring morbidity and mortality conferences to teach patient safety and quality improvement in residents. MedEdPortal. 2016;12(10475):1–7 Association of the American Medical College.Google Scholar
  4. 4.
    Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;22:383–8.CrossRefGoogle Scholar
  5. 5.
    Wasser T, Grunschel BD, Stevens A, Capurso NA, Ralevski E, Barkil-Oteo A, et al. Transforming systems of care through a novel resident-led approach to morbidity and mortality conferences. Acad Psychiatry. 2016;40:893–7.CrossRefGoogle Scholar

Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  1. 1.Cooper University HospitalCooper Medical School of Rowan UniversityCamdenUSA

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