A Resident-driven Initiative to Increase Bedside Teaching on Interdisciplinary Rounds

Area of Science:

• Medical Education
• Quality Improvement
• Patient Care

Background:

• Inpatient rounding is crucial for patient care and medical training.
• Current practices often lack sufficient physical examination teaching and resident satisfaction.
• A family-centered bedside model is recommended by the American Academy of Pediatrics.

Purpose of the Study:

• To increase bedside physical examination teaching frequency during inpatient rounds.
• To enhance intern satisfaction and time spent at the bedside.
• To achieve these goals using quality improvement (QI) methodology without impacting rounding duration.

Main Methods:

• Implemented a resident-led project using a quality improvement (QI) framework.
• Introduced interventions such as daily bedside examination teaching, afternoon examinations, and a teaching tip sheet.
• Utilized plan-do-study-act cycles and surveys to assess outcomes, monitoring rounding efficiency.

Main Results:

• Bedside teaching frequency increased significantly from 10% to 61%.
• Perceived time at the bedside increased from 37% to 59%.
• Rounding satisfaction improved from 6.7/10 to 7.4/10, with no negative impact on efficiency.

Conclusions:

• A resident-driven initiative successfully improved bedside physical examination teaching and satisfaction during inpatient rounds.
• The project demonstrated the feasibility of resident-led QI initiatives for driving change across disciplines.
• The organizational structure developed can serve as a model for future resident-led QI projects in healthcare institutions.