Optimizing Resident Education during Family-centered Rounds: An Educational Improvement Initiative.

Area of Science:

• Medical Education
• Patient-Centered Care
• Quality Improvement

Background:

• Family-centered rounding (FCR) enhances patient safety and communication but can negatively impact resident education.
• A baseline survey revealed only 20% of pediatric residents perceived FCR as optimal for learning.

Purpose of the Study:

• To increase the percentage of residents with a positive perception of the FCR educational experience from 20% to 80% within six months.

Main Methods:

• Utilized The Model for Improvement with plan-do-study-act cycles.
• Implemented a hybrid FCR model combining formal presentations with bedside rounding.
• Monitored resident perception, rounding duration, and family satisfaction/comprehension.

Main Results:

• Resident perception of FCR as a positive educational experience increased from 21% to 76%.
• Family satisfaction and care plan comprehension remained high (above 80%).
• Concerns were noted regarding the number of personnel during rounds amid the COVID-19 pandemic, and 43% of rounds exceeded allocated time.

Conclusions:

• Hybrid FCR, incorporating formal presentations, can enhance the resident learning experience.
• This modified approach successfully preserves family satisfaction and comprehension during medical rounds.