Grand rounds: a paradox in medical education

Area of Science:

• Medical Education
• Continuing Professional Development
• Hospital Administration

Background:

• Hospital grand rounds are a significant component of continuing medical education.
• Physicians with administrative roles perceive grand rounds as the primary hospital-based educational activity within their disciplines.

Purpose of the Study:

• To evaluate physician perceptions regarding the importance and educational purpose of hospital grand rounds.
• To examine the organizational structure and educational aspects of grand rounds as formal learning events.

Main Methods:

• A descriptive survey was conducted using mailed, nonanonymous questionnaires.
• The study targeted 150 residency program directors and department/division directors in Calgary hospitals.
• Responses from 107 physicians were analyzed.

Main Results:

• Grand rounds consume over 2000 hours annually in Calgary hospitals.
• While valued for updates in research, diagnosis, and management, only a third of respondents prioritized actual patient problems.
• A significant gap exists between perceived importance and educational structure, with few rounds based on curricula (13%) or needs assessments (16%).

Conclusions:

• The substantial time dedicated to grand rounds highlights their perceived importance in hospital operations.
• Grand rounds serve as a platform for showcasing medical excellence and advances, but lack structured educational design and evaluation.
• Further investigation into the purpose and educational efficacy of traditional grand rounds is recommended.