Attending rounds |
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Authors: | Dr Kurt Kroenke MD LTC MC USA John O Simmons MD MPH John B Copley MD Craig Smith MD MAJ MC USA |
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Institution: | (1) Walter Reed Army Medical Center, Washington, D.C.;(2) Brooke Army Medical Center, Fort Sam, Houston, Texas;(3) Department of Medicine, USUHS, 4301 Jones Bridge Road, 80214 Bethesda, MD |
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Abstract: | To determine attitudes regarding attending rounds, the authors surveyed all internal medicine residents and attending physicians
at the eight Army teaching hospitals. The response rate was 86%, including 166 (76%) of 217 residents and 246 (93%) of 264
attendings. Of 12 educational activities, attending rounds were randked seventh by residents in their perceived value. Both
residents and attendings favored sessions that lasted 90 minutes or less and were held three to four times per week. Most
respondents felt case presentations should take 5 minutes or less and be delivered away from the patient’s bedside. On average,
residents preferred less time at the bedside than did attendings (25% vs. 34% of attending round time). Residents desired
substantial control of the agenda for rounds and also wanted to be responsible for one-third of the teaching. The attending-physician
attributes that residents valued most highly were fund of knowledge, availability, and relating well to housestaff. Since
residents’ and attending physicians’ attitudes may differ, expectations regarding attending rounds should be clarified at
the beginning of a ward rotation so that mutually acceptable goals can be established.
Presented in part at the 12th Annual Meeting of the Society of General Internal Medicine, Washington, D.C., April 28, 1989. |
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Keywords: | attending rounds residents education |
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