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A method for real-time, evidence-based general medical attending rounds
Thomas McGinn1, Megan Seltz, Debra Korenstein
1Division of General Internal Medicine, Mount Sinai Medical Center, New York, New York 10029, USA.
Summary
Implementing evidence-based medicine (EBM) in internal medicine attending rounds enhanced learning and patient care. This practical approach improved current and future patient management and disease understanding.
Area of Science:
- Medical Education
- Internal Medicine
- Evidence-Based Practice
Background:
- Attending rounds are a cornerstone of medical education in internal medicine.
- Integrating evidence-based medicine (EBM) into these rounds can enhance learning and patient care.
Purpose of the Study:
- To evaluate the utility and practicality of an evidence-based format during internal medicine attending rounds.
- To assess the impact of EBM on resident and student learning and patient management.
Main Methods:
- A four-week "Evidence-Based Medicine Attending Month" was implemented with two internal medicine teams.
- The process involved developing patient-based questions, searching for evidence, critical appraisal, and application to patient care.
- Participants evaluated the impact on current management, future practice, and disease understanding.
Main Results:
- A 75% completion rate for formal EBM questions was achieved.
- 50% of participants reported a change in active patient management, and 75% anticipated changes in future patient care.
- Over 90% felt the program improved their understanding of disease processes.
Conclusions:
- The formal EBM approach was practical and effectively implemented in attending rounds.
- The EBM format enhanced the learning experience for residents and students.
- This approach positively influenced current and future patient care and disease knowledge.