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Jessica Prince, Lewis A Eisen, Jamie B Rosenberg; Morbidity and Mortality Conference Using an Anonymous Audience Response System to Address Core Competencies in Ophthalmology. Invest. Ophthalmol. Vis. Sci. 2014;55(13):5575.
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To assess whether implementation of Morbidity and Mortality (M&M) conferences with anonymous audience response system enhances residency education in the ACGME core competencies.
Every other month starting June 2013, an M&M conference was held for the ophthalmology department. Residents presented patients who had suffered morbidity such as vision loss or unexpected need for reoperation. In each presentation, the level of training (student, resident, fellow, attending) was asked, followed by 5-7 multiple choice questions throughout the presentation addressing one of the 6 core competencies. All questions were powered by www.polleverywhere.com, which allowed each participant to respond by text message and displayed all responses anonymously. The poll responses were discussed in real time, including a determination of which core competency was applicable. The last question in each presentation asked audience members if this format of M&M conference was useful. The responses were collected and analyzed.
Three cases were presented during two conferences using audience response polling software. During the case discussions, the following issues were addressed: appropriate patient follow-up, diagnostic evaluations, complete ophthalmologic examinations, surgical errors, and post-operative complications. The questions addressed all 6 core competencies: patient care, medical knowledge, practice based learning and improvement, systems based practice, professionalism, and interpersonal skills and communication. Sixteen people attended the first conference and fifteen people attended the second. Most audience members (54.8%) were residents, with medical students (25.8%), fellows (3.2%), and attending physicians (16.1%) also participating. The majority of participants (84.6%) agreed or strongly agreed that the format of the M&M conference was useful.
M&M conferences play an integral role in residency education. Anonymous audience response systems can provide a method of addressing all core competencies in a way that promotes active participation.
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