PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Teaching Rounds”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

Clinical nursing rounds, part 4: Teaching rounds for nurses.

Clinical rounds are being introduced in the Dudley Group of Hospitals to improve patient care, involve patients and improve communication. There are four types of rounds, Matrons rounds, Nurse Management Rounds, Patient Comfort rounds and Teaching rounds. This article describes Teaching rounds and is the final article in the series of four. Nurses and midwives learn in a variety of ways: through courses and accredited programmes, seminars, conferences, self-directed study and so on. One of the most effective ways, however, is to participate in special clinical teaching rounds. These are aimed at all learners, whether pre-registration students or qualified staff. Their aim is to learn from direct patient contact with facilitation from an experienced nurse teacher. In this article an account is given of how a Professor of Nursing linked to a hospital Trust uses this approach to teach and evaluate nursing care and is the last in the series of four on clinical nursing rounds. It is felt the rounds are particularly useful in developing clinical practice, evidence-based care, understanding patients and the conditions they experience, while linking theory and practice.

Clinical Competence↗

The art and science of teaching rounds. A strategy for staff development.

Teaching rounds can be a highly interactive, fluid process for developing staff nurses' critical thinking, assessment, and interpersonal skills. In this article, the authors describe how to conduct and evaluate teaching rounds using the example of Pain Management Teaching Rounds conducted by an advanced practice nurse on medical-surgical units of a large medical center. Qualitative and quantitative outcomes of the pain management rounds are discussed.

Adult↗

How attending physicians make instructional decisions when conducting teaching rounds.

When attending physicians are conducting teaching rounds, they rapidly decide what and how much to teach in response to each case presentation. How do they make these instructional decisions? The author performed a qualitative study of the instructional reasoning and actions of six distinguished clinical teachers in general internal medicine to address this question. Four data sources were used: interviews with teachers and learners, a structured task, transcripts of teaching rounds, and week-long observations of each ward team. The teachers in this study engaged in substantial amounts of planning before rounds and reflected on rounds afterwards. When listening to a case presentation during rounds, they quickly diagnosed the patient's problems and simultaneously diagnosed their learners' levels of understanding. These diagnostic assessments were used to tailor content-specific curriculum scripts for instruction. Throughout the rounds, the teachers also engaged in interactive thinking, decision making, and improvisation. The author's findings allowed him to hypothesize a model of clinical instructional reasoning and action; they contribute new insights into the interplay between reasoning in a discipline and pedagogical reasoning. Instructional reasoning and clinical reasoning were found to be closely linked through the use of scripts. The implications of these and other findings for medical faculty development are discussed.

Clinical Clerkship↗

Multiple realities. Teaching rounds in an inpatient pediatric service.

Teaching rounds are a mainstay of most educational programs for interns and residents, but little is known about how they are conducted and the role they play in house staff members' learning. We performed a qualitative study of teaching rounds in an inpatient adolescent service using five data sources: observations, interviews, house staff ratings, results of a house staff retreat, and documents outlining faculty responsibilities. Interns, senior residents, and faculty members expressed differing views regarding the purpose, process, and content of rounds; mutual roles and expectations; and time management. An interactive teaching format focused around the visit of a patient to the conference room stimulated house staff interest and learning to a greater extent than did more traditional case presentations and lectures. These results suggest a need to develop a consensus among faculty and house staff regarding the purpose, content, and process of rounds.

Adolescent↗

Teaching during rounds.

Teaching rounds are a vital part of every residency program. Patient rounds provide an avenue to incorporate evidence-based medicine, current literature, and personal experiences into daily teaching while allowing residents to experience the doctor-patient relationship. Although time consuming, daily in-patient rounds are invaluable to any physician's training. This article discusses how to conduct well-organised, efficient patient rounds with maximum learning benefits for the residents. The daily protocol followed by the Podiatry Service at University Hospital, University of Medicine and Dentistry of New Jersey is also described. Conducting beneficial teaching rounds is an important aspect of a residency program when developing highly competent physicians.

Evidence-Based Medicine↗

E-mail amplification of a mock code teaching round.

To determine whether e-mail could be used to supplement a teaching round, we implemented the following educational intervention: each Monday, a mock code was presented. Two e-mails were then sent the same day to all residents. One summarized the main teaching points whereas the second solicited discussion. Each Friday, a third e-mail was sent that summarized the discussion. We collected all e-mails and surveyed the residents. Fifteen of 18 residents completed the questionnaire; two were not participants in the e-round. Forty percent (7/15) of the residents attended fewer than half of the mock codes but most participants (10/13) reported reading >95% of the e-mails. A majority reported storing (11/13), printing (7/13), and reading e-mails a second time (12/13). Seven of 13 reported learning as much or more from the e-mails as from the mock code itself. We conclude that e-mail can increase learning from a traditional mock code teaching round.

Computer Communication Networks↗

Endocrinology teaching rounds: primary amenorrhea in a 17-year-old woman.

This endocrinology teaching rounds documents the evaluation of a 17.7-year-old woman with primary amenorrhea. The normal timing of developmental milestones for young women from adrenarche and pubarche through pubertal maturation and growth is reviewed, as are etiologies for amenorrhea. The differential diagnosis of the problem is developed from the patient's initial visit to diagnosis and treatment. The highlights of the management of this young woman after a diagnosis of craniopharyngioma are also discussed. This clinical case emphasizes the importance of understanding normal developmental landmarks and of detecting aberrant physiology-associated amenorrhea even when screening laboratory tests appear normal so that defects in normal development can be addressed earlier in life.

Adolescent↗

Reflections of physician-authors on death: literary selections appropriate for teaching rounds.

Physicians constantly confront to death and respond in a variety of ways to the many deaths that they witness and to their own sense of mortality. Student-doctors should be exposed, prior to and during their clinical training, to these different types of responses, so that they can prepare for their encounters with the "ultimate mystery" and realize that their own reactions, uncertainties and fears are neither unique or unnatural. Writings of physician-authors provide an ideal medium for this exposure. Despite improvements in death education in medical schools, studies have described trainees' desire for more education and have documented deficits in the care of dying patients. This paper briefly describes the responses of physician-authors and their fictional characters to death, in hopes of interesting students in reading and stimulating educators to use these and other literary selections in the classroom and on teaching rounds, in order to facilitate introspection and discussion. Examples of brief readings, which can be used on ward rounds, incorporated into discussions of critical incidents, or read during teachable moments in the outpatient clinic are provided.

Adaptation, Psychological↗

Clinical teaching rounds. A case-oriented faculty development program.

OBJECTIVE: To improve clinical teaching with emphasis on improving provision of feedback through a faculty development series modeled on clinical rounds. METHOD: Seven 1-hour conferences were held for the pediatric faculty during the academic year 1994-1995. Clinical rounds were emulated, with a simulated learner functioning as the patient with a chief complaint of some instructional problem. The conferences progressed from discussion about teaching in a particular situation, to videotapes of clinical teaching, and finally to live clinical teaching. Evaluation of the conferences was assessed by attendance records, participants' evaluations of the conferences, and comparing student and resident evaluations of faculty who attended (i.e., those who attended > or = 2) with faculty who did not attend. Comparisons were made for the academic year before and after the conferences using paired t tests. RESULTS: Forty percent of the faculty attended 2 or more conferences. Mean conference ratings were 4.00 to 4.35, (1 is poor; 5, excellent). Faculty who attended had a significant improvement in ratings for feedback (P = .01) and overall teaching effectiveness (P = .04). Ratings for faculty who did not attend did not change. CONCLUSION: These conferences were well received by the faculty and are an effective way to improve clinical teaching.

Clinical Competence↗

Increasing the time faculty spend at the bedside during teaching rounds.

To increase faculty time at the bedside during learning rounds at the internal medicine residency of Jefferson Medical College, the authors initiated a program that included giving feedback to faculty about their bedside teaching, presenting relevant literature, and communicating to housestaff the need to prepare patients for visits. The program led to a dramatic increase in the number of bedside visits by faculty.

Internal Medicine↗