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J Gen Intern Med. 2008 Jul;23(7):1060-5. doi: 10.1007/s11606-008-0668-z.

A pilot study using nominal group technique to assess residents' perceptions of successful attending rounds.

Author information

1
Division of General Internal Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA. acastigl@uab.edu

Abstract

BACKGROUND:

Ward attending rounds are fundamental for internal medicine residency training. An improved understanding of interns' and residents' perceptions of attending rounds should inform training programs and attending physicians.

OBJECTIVES:

The aim of this study was to assess residents' perceptions of successful attending rounds.

DESIGN:

We convened two groups of interns and two groups of residents, to elicit their perceptions on attending rounds.

SUBJECTS:

Participants were recruited by e-mail and conference announcements from the 49 interns and 80 residents in the internal medicine and medicine-pediatrics residency programs.

MEASUREMENTS:

The nominal group technique (NGT) uses a structured group process to elicit and prioritize answers to a carefully articulated question.

MAIN RESULTS:

Seven interns (14%) identified 27 success factors and ranked attending approachability and enthusiasm and high quality teaching as most important. A second group of six (12%) interns identified 40 detractors and ranked having "mean attendings," receiving disrespectful comments, and too long or too short rounds as the most significant detractors. Nine (11%) residents identified 32 success factors and ranked attention to length of rounds, house staff autonomy, and establishing goals/expectations as the most important success factors. A second group of six (8%) residents identified 34 detractors and ranked very long rounds, interruptions and time constraints, and poor rapport between team members as the most significant detractors).

CONCLUSIONS:

Although there was some overlap in interns' and residents' perceptions of attending rounds, interns identified interpersonal factors as the most important factors; whereas residents viewed structural factors as most important. These findings should assist attending physicians improve the way they conduct rounds targeting both interns and residents needs.

PMID:
18612745
PMCID:
PMC2517943
DOI:
10.1007/s11606-008-0668-z
[Indexed for MEDLINE]
Free PMC Article

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