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Structuring ward rounds to enhance education.

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A new structured ward round tool (STIC) enhances medical education for trainees and improves teamwork without increasing consultant time. This framework offers clarity and focus to learning opportunities during hospital rounds.

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Area of Science:

  • Medical Education
  • Healthcare Management
  • Clinical Practice

Background:

  • Ward rounds are integral to hospital culture and medical education.
  • Complex healthcare settings present challenges to effective ward round education.
  • A structured tool was hypothesized to improve educational experiences without increasing consultant workload.

Purpose of the Study:

  • To develop and evaluate a novel tool for structuring ward rounds to enhance medical education.
  • To assess the impact of the STIC framework on trainee learning and consultant time.
  • To determine the acceptability and usefulness of the ward round tool in a clinical setting.

Main Methods:

  • Developmental evaluation approach used to create the STIC (Set, Target, Inspect, Close) framework and tool.
  • Iterative piloting and refinement in a clinical department.
  • Evaluation using quantitative (surveys) and qualitative (focus groups) data, aligned with Moore's outcome levels.

Main Results:

  • High consultant uptake and acceptance of the ward round tool, finding it accessible and useful for education.
  • Trainee doctors reported enhanced structure, focused learning, clear agendas, and improved closure.
  • Unintended positive outcomes included strengthened teamwork during ward rounds.

Conclusions:

  • The STIC framework and ward round tool are acceptable to consultants and perceived to enhance trainee education and teamwork.
  • Further research is recommended to explore the tool's applicability, scalability, and patient perspectives in diverse settings.