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Academic bedside rounding in 10 As: the decalogue technique
Diego Adão1, Gabriela Caetano Lopes Martins1, Leonardo Yuri Kasputis Zanini1
1Universidade Federal de São Paulo - Escola Paulista de Medicina - Departamento de Cirurgia - São Paulo (SP) - Brazil.
Acta Cirurgica Brasileira
|February 11, 2026
Summary
The 10 As decalogue technique offers a structured approach to surgical bedside rounding, enhancing resident education and patient care. This method improves clinical skills and fosters trust through systematic case discussions.
Area of Science:
- Medical Education
- Surgical Training
- Clinical Rounds
Background:
- Effective bedside rounding is crucial for surgical training and patient care.
- Current methods may face challenges in time management and educational integration.
- A structured framework can optimize the surgical bedside rounding process.
Purpose of the Study:
- To introduce the 10 As decalogue technique, a novel framework for structured surgical bedside rounding.
- To provide a model for implementation in academic medical centers.
Main Methods:
- A narrative review and perspective piece.
- Literature search conducted in MEDLINE via PubMed up to May 2025.
- Development of a descriptive model based on clinical and educational principles.
Main Results:
- The 10 As decalogue includes: anticipation, assistant team presentation, authorization, appraisal, assessment, alerts, advice, agreement, annotation, and afterwards.
- This technique enhances case discussion, trainee clinical skills, empathy, and patient trust.
- It addresses time constraints and improves learning through debriefing and feedback.
Conclusions:
- The 10 As decalogue is an effective tool for surgical bedside rounding in academic settings.
- It promotes resident education, reduces errors, and increases patient involvement.
- The framework balances educational and clinical demands effectively.
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