Resident Perspectives Regarding Education on Attending Rounds
INTRODUCTION An important component of internal medicine resident education is morning (attending) rounds. Effective aspects of medical education include involving all team members, minimizing distractions, asking questions, and having ready access to data, all of which may not be present during rou...
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SAGE Publishing
2025-03-01
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| Series: | Journal of Medical Education and Curricular Development |
| Online Access: | https://doi.org/10.1177/23821205251324019 |
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| author | Ian J Larson Alana R Siev Cristina M Gonzalez |
| author_facet | Ian J Larson Alana R Siev Cristina M Gonzalez |
| author_sort | Ian J Larson |
| collection | DOAJ |
| description | INTRODUCTION An important component of internal medicine resident education is morning (attending) rounds. Effective aspects of medical education include involving all team members, minimizing distractions, asking questions, and having ready access to data, all of which may not be present during rounds. There is limited information on learner-centered rounds or resident perspectives about education during rounds. To inform a learner-centered approach to rounds, the investigators conducted a focus group study of Internal Medicine residents exploring their perceived strengths and weaknesses of rounds, and how rounds could be better used as a teaching tool. METHODS Three 60-min focus groups were conducted with N = 21 postgraduate year 2/3 Internal Medicine Residents at Montefiore Medical Center in Bronx, NY, USA in 2021-2022. Two resident investigators led the focus groups using a semistructured interview guide. Questions included defining types of rounds, benefits and pitfalls of various rounding styles, their impact on resident education, and recommendations to improve education on morning rounds. The sessions were audio recorded, transcribed verbatim, and de-identified. Transcripts were analyzed through inductive thematic analysis. RESULTS Rounding styles identified were bedside, table rounds, and a hybrid approach. Three themes emerged through analysis of the data: (1) A hybrid model offers an optimal balance of education; (2) full bedside rounds have unintended pitfalls; and (3) Attending preparation affects the quality of rounds. CONCLUSIONS Residents’ perceptions of the education on attending rounds are impacted by both attending rounding style and advanced preparation. Our participants’ insights could inform a rounding approach that optimizes both patient- and learner-centeredness. |
| format | Article |
| id | doaj-art-2a86acd4c91c4e648299c7ef62244916 |
| institution | DOAJ |
| issn | 2382-1205 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Medical Education and Curricular Development |
| spelling | doaj-art-2a86acd4c91c4e648299c7ef622449162025-08-20T03:15:56ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052025-03-011210.1177/23821205251324019Resident Perspectives Regarding Education on Attending RoundsIan J Larson0Alana R Siev1Cristina M Gonzalez2 Department of Medicine at New York University Grossman School of Medicine, New York, NY, USA Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA Department of Medicine, New York University Grossman School of Medicine, New York, NY, USAINTRODUCTION An important component of internal medicine resident education is morning (attending) rounds. Effective aspects of medical education include involving all team members, minimizing distractions, asking questions, and having ready access to data, all of which may not be present during rounds. There is limited information on learner-centered rounds or resident perspectives about education during rounds. To inform a learner-centered approach to rounds, the investigators conducted a focus group study of Internal Medicine residents exploring their perceived strengths and weaknesses of rounds, and how rounds could be better used as a teaching tool. METHODS Three 60-min focus groups were conducted with N = 21 postgraduate year 2/3 Internal Medicine Residents at Montefiore Medical Center in Bronx, NY, USA in 2021-2022. Two resident investigators led the focus groups using a semistructured interview guide. Questions included defining types of rounds, benefits and pitfalls of various rounding styles, their impact on resident education, and recommendations to improve education on morning rounds. The sessions were audio recorded, transcribed verbatim, and de-identified. Transcripts were analyzed through inductive thematic analysis. RESULTS Rounding styles identified were bedside, table rounds, and a hybrid approach. Three themes emerged through analysis of the data: (1) A hybrid model offers an optimal balance of education; (2) full bedside rounds have unintended pitfalls; and (3) Attending preparation affects the quality of rounds. CONCLUSIONS Residents’ perceptions of the education on attending rounds are impacted by both attending rounding style and advanced preparation. Our participants’ insights could inform a rounding approach that optimizes both patient- and learner-centeredness.https://doi.org/10.1177/23821205251324019 |
| spellingShingle | Ian J Larson Alana R Siev Cristina M Gonzalez Resident Perspectives Regarding Education on Attending Rounds Journal of Medical Education and Curricular Development |
| title | Resident Perspectives Regarding Education on Attending Rounds |
| title_full | Resident Perspectives Regarding Education on Attending Rounds |
| title_fullStr | Resident Perspectives Regarding Education on Attending Rounds |
| title_full_unstemmed | Resident Perspectives Regarding Education on Attending Rounds |
| title_short | Resident Perspectives Regarding Education on Attending Rounds |
| title_sort | resident perspectives regarding education on attending rounds |
| url | https://doi.org/10.1177/23821205251324019 |
| work_keys_str_mv | AT ianjlarson residentperspectivesregardingeducationonattendingrounds AT alanarsiev residentperspectivesregardingeducationonattendingrounds AT cristinamgonzalez residentperspectivesregardingeducationonattendingrounds |