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Med Clin North Am. 2018 May;102(3):509-519. doi: 10.1016/j.mcna.2017.12.012.

Patient-Centered Bedside Rounds and the Clinical Examination.

Author information

1
Department of Internal Medicine, Section on General Internal Medicine and Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157, USA. Electronic address: plichste@wakehealth.edu.
2
Department of Internal Medicine, Section on General Internal Medicine and Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157, USA.

Abstract

Bedside hospital rounds promote patient-centered care in teaching and nonteaching settings. Patients and families prefer bedside rounds and provider acceptance is increasing. Efficient bedside rounds with an interprofessional team or with learners requires preparation of the patient and the rounding team. Bedside "choreography" provides structure and sets expectations for time spent in the room. By using relationship-centered communication, rounds can be both patient proximate and patient centered. The clinical examination can be integrated into the flow of the presentation and case discussion. Patient and provider experience can be enhanced through investing time at the bedside.

KEYWORDS:

Bedside rounds; Interprofessional; Medical education; Patient centered; Physical examination; Relationship-centered communication

PMID:
29650072
DOI:
10.1016/j.mcna.2017.12.012
[Indexed for MEDLINE]

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