The value of bedside rounds: a multicenter qualitative study.
Jed D Gonzalo1, Brian S Heist, Briar L Duffy
1a Department of Medicine , Pennsylvania State University College of Medicine , Hershey , Pennsylvania , USA.
Teaching and Learning in Medicine
|October 12, 2013
Summary
Bedside rounds enhance medical education by fostering skill development, observation, role-modeling, and team building. These rounds are crucial for high-quality patient care and training.
Area of Science:
- Medical Education
- Qualitative Research
- Clinical Skills Training
Background:
- Declining frequency of bedside rounds in teaching hospitals.
- Concerns regarding the impact on trainee clinical skills.
- Potential negative effects on patient-physician relationships.
Purpose of the Study:
- To understand experienced bedside teachers' views on the value of bedside rounds.
- To gather insights to support the re-implementation of bedside rounds.
- To identify key benefits that can be leveraged for educational reform.
Main Methods:
- Qualitative study employing grounded theory.
- Semi-structured telephone interviews with 34 bedside teachers.
- Data collected from 10 U.S. institutions between 2010-2011.
Main Results:
- Six core themes emerged regarding the value of bedside rounds.
- Themes include learner skill development (physical exam, communication, decision-making).
- Other themes: observation/feedback, role-modeling, team building, improved patient care, and patient-centered culture.
Conclusions:
- Bedside teachers recognize significant benefits of bedside rounds.
- These benefits align with contemporary medical education reform goals.
- Bedside rounds are essential for effective patient care and medical training.
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