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Returning to the Bedside: Notes From a Clinical Educator
1professor of medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina plichste@wakehealth.edu.
Teaching rounds are returning to the bedside, involving patients and families more in healthcare decisions. This shift from conference room discussions enhances patient-centered care and communication.
Area of Science:
- Medical Education
- Patient-Centered Care
- Healthcare Communication
Background:
- Traditional teaching rounds have moved away from patient bedsides over 30 years.
- This shift sidelines patients and families, crucial healthcare resources.
- Management discussions often occur in conference rooms or hallways.
Purpose of the Study:
- To reverse the trend of teaching rounds moving away from the bedside.
- To re-integrate patients and families into clinical decision-making.
- To promote structured interdisciplinary bedside rounds.
Main Methods:
- Implementing bedside presentations for newly admitted patients.
- Facilitating structured interdisciplinary bedside rounds.
- Observing the shift in teaching round locations and participant engagement.
Main Results:
- Teaching rounds are increasingly returning to the patient bedside.
- Patients and families are being re-included in healthcare discussions.
- Structured interdisciplinary bedside rounds are being adopted.
Conclusions:
- Bedside rounds enhance patient and family involvement in healthcare.
- Reversing the trend of away-from-bedside rounds improves patient-centered care.
- Structured interdisciplinary bedside rounds are an effective model.
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