Literature DB >> 19330687

Attending rounds and bedside case presentations: medical student and medicine resident experiences and attitudes.

Jed D Gonzalo1, Philip A Masters, Richard J Simons, Cynthia H Chuang.   

Abstract

BACKGROUND: Attending rounds have transitioned away from the patient's bedside toward the hallway and conference rooms. This transition has brought into question how to best teach on medicine services.
PURPOSE: The purpose is to describe learner experiences and attitudes regarding bedside attending rounds at an academic medical institution.
METHOD: Cross-sectional Web-based survey of 102 medical students and 51 internal medicine residents (75% response rate).
RESULTS: The mean time spent at the bedside during attending rounds was 27.7% (SD = 20.1%). During 73% of the rotations, case presentations occurred at the bedside 25% of the time or less. Learners experiencing bedside case presentations were more likely to prefer bedside case presentations. Despite their stated concerns, learners believe bedside rounds are important for learning core clinical skills.
CONCLUSIONS: Time spent at the bedside is waning despite learners' beliefs that bedside learning is important for professional development. Our findings suggest the necessity to re-examine our current teaching methods on internal medicine services.

Entities:  

Mesh:

Year:  2009        PMID: 19330687      PMCID: PMC2696474          DOI: 10.1080/10401330902791156

Source DB:  PubMed          Journal:  Teach Learn Med        ISSN: 1040-1334            Impact factor:   2.414


  11 in total

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Authors:  Subha Ramani; Jay D Orlander; Lee Strunin; Thomas W Barber
Journal:  Acad Med       Date:  2003-04       Impact factor: 6.893

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Journal:  Lancet       Date:  1989-12-02       Impact factor: 79.321

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Journal:  N Engl J Med       Date:  1980-11-20       Impact factor: 91.245

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Journal:  J Med Educ       Date:  1978-05

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Authors:  M A LaCombe
Journal:  Ann Intern Med       Date:  1997-02-01       Impact factor: 25.391

8.  Examination room presentations in general internal medicine clinic: patients' and students' perceptions.

Authors:  Heather D Rogers; Jan D Carline; Douglas S Paauw
Journal:  Acad Med       Date:  2003-09       Impact factor: 6.893

9.  Bedside case presentations: why patients like them but learners don't.

Authors:  R M Wang-Cheng; G P Barnas; P Sigmann; P A Riendl; M J Young
Journal:  J Gen Intern Med       Date:  1989 Jul-Aug       Impact factor: 5.128

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Authors:  L S Lehmann; F L Brancati; M C Chen; D Roter; A S Dobs
Journal:  N Engl J Med       Date:  1997-04-17       Impact factor: 91.245

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  29 in total

1.  Using cognitive mapping to define key domains for successful attending rounds.

Authors:  Brita Roy; Analia Castiglioni; Ryan R Kraemer; Amanda H Salanitro; Lisa L Willett; Richard M Shewchuk; Haiyan Qu; Gustavo Heudebert; Robert M Centor
Journal:  J Gen Intern Med       Date:  2012-06-22       Impact factor: 5.128

2.  Medical student self-efficacy with family-centered care during bedside rounds.

Authors:  Henry N Young; Jayna B Schumacher; Megan A Moreno; Roger L Brown; Ted D Sigrest; Gwen K McIntosh; Daniel J Schumacher; Michelle M Kelly; Elizabeth D Cox
Journal:  Acad Med       Date:  2012-06       Impact factor: 6.893

3.  A qualitative study of the meaning of physical examination teaching for patients.

Authors:  Katherine C Chretien; Ellen F Goldman; Katherine E Craven; Charles J Faselis
Journal:  J Gen Intern Med       Date:  2010-03-30       Impact factor: 5.128

4.  Patient-centered care or patient data-centered care: a tale of 2 admissions.

Authors:  Subha Ramani
Journal:  J Grad Med Educ       Date:  2013-09

5.  Bedside rounding strategies used by bedside teachers. The authors’ reply.

Authors:  Jed Gonzalo
Journal:  J Gen Intern Med       Date:  2013-09       Impact factor: 5.128

6.  Capsule commentary on Gonzalo et al., Patient-centered interprofessional collaborative care: factors associated with bedside interprofessional rounds.

Authors:  David V Evans
Journal:  J Gen Intern Med       Date:  2014-07       Impact factor: 5.128

7.  The return of bedside rounds: an educational intervention.

Authors:  Jed D Gonzalo; Cynthia H Chuang; Grace Huang; Christopher Smith
Journal:  J Gen Intern Med       Date:  2010-04-13       Impact factor: 5.128

8.  Patient-centered interprofessional collaborative care: factors associated with bedside interprofessional rounds.

Authors:  Jed D Gonzalo; Daniel R Wolpaw; Erik Lehman; Cynthia H Chuang
Journal:  J Gen Intern Med       Date:  2014-03-11       Impact factor: 5.128

9.  Medical student outcomes after family-centered bedside rounds.

Authors:  Elizabeth D Cox; Jayna B Schumacher; Henry N Young; Michael D Evans; Megan A Moreno; Ted D Sigrest
Journal:  Acad Pediatr       Date:  2011-03-10       Impact factor: 3.107

10.  The art of bedside rounds: a multi-center qualitative study of strategies used by experienced bedside teachers.

Authors:  Jed D Gonzalo; Brian S Heist; Briar L Duffy; Liselotte Dyrbye; Mark J Fagan; Gary Ferenchick; Heather Harrell; Paul A Hemmer; Walter N Kernan; Jennifer R Kogan; Colleen Rafferty; Raymond Wong; D Michael Elnicki
Journal:  J Gen Intern Med       Date:  2012-11-06       Impact factor: 5.128

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