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J Hosp Med. 2017 Nov;12(11):892-897. doi: 10.12788/jhm.2835. Epub 2017 Sep 20.

What's the Purpose of Rounds? A Qualitative Study Examining the Perceptions of Faculty and Students.

Author information

1
University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA. oliverh@uchicago.edu.
2
Department of Medicine, The University of Chicago, Chicago, Illinois, USA.
3
University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA.
4
Department of Medicine, The Ohio State University, Columbus, Ohio, USA.
5
Department of Pediatrics, University of California, San Francisco, California, USA.
6
Departments of Internal Medicine and Pediatrics, University of California, San Francisco, California, USA.
7
Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
8
Department of Pediatrics, The University of Chicago, Chicago, Illinois, USA.

Abstract

BACKGROUND:

Rounds are a critical activity on any inpatient service, but there is little literature describing the purpose of rounds from the perspective of faculty and trainees in teaching hospitals.

OBJECTIVE:

To evaluate and compare the perceptions of pediatric and internal medicine attendings and medical students regarding the purpose of inpatient attending rounds.

METHODS:

The authors conducted 10 semistructured focus groups with attendings and medical students in the spring of 2014 at 4 teaching hospitals. The protocol was approved by the institutional review boards at all institutions. The authors employed a grounded theory approach to data collection and analysis, and data were analyzed by using the constant- comparative method. Two transcripts were read and coded independently by 2 authors to generate themes.

RESULTS:

Forty-eight attendings and 31 medical students participated in the focus groups. We categorized 218 comments into 4 themes comprised of 16 codes representing what attendings and medical students believed to be the purpose of rounds. These themes included communication, medical education, patient care, and assessment.

CONCLUSIONS:

Our results highlight that rounds serve 4 purposes, including communication, medical education, patient care, and assessment. Importantly, both attendings and students agree on what they perceive to be the many purposes of rounds. Despite this, a disconnect appears to exist between what people believe are the purposes of rounds and what is happening during rounds.

PMID:
29091976
DOI:
10.12788/jhm.2835
[Indexed for MEDLINE]

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