Sp. Harbison et G. Regehr, Faculty and resident opinions regarding the role of morbidity and mortality conference, AM J SURG, 177(2), 1999, pp. 136-139
BACKGROUND: The role of the surgical morbidity and mortality (M&M) conferen
ce as a forum for examination of surgical failure may remain unclear. This
paper reports the results of a national survey of surgical faculty and trai
nees regarding the role and effectiveness of the M&M conference.
METHODS: Based on focus groups and pilot studies from multiple institutions
in one geographic area, a questionnaire addressing critical issues in atti
tudes toward the M&M conference was sent to 1,100 randomly chosen subjects
nationwide: 500 residents and 600 staff. The survey includes individual and
institutional demographic information, 15 statements answered using a Like
rt scale, and 2 open-ended questions.
RESULTS: Faculty response rate was 501 of 600 (83%) and resident response r
ate was 166 of 500 (33%). Responses were generally positive in both groups,
with staff showing small but significantly more positive attitudes than re
sidents. A higher proportion of residents characterize the M&M conference a
s too defensive.
CONCLUSION: The M&M conference is fulfilling its potential as a teaching to
ol but there may be room for improvement as residents view the experience s
lightly less positively than faculty. This questionnaire provides a perspec
tive of expectations for the M&M conference, allowing educators to optimize
its effectiveness. (C) 1999 by Excerpta Medica, Inc.