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1/ Have had the privilege of observing rounds lately as part of @UCSFMedicine's Learning/Caring Environment team.
Some early thoughts:
1) Every AM, trainees are asked to perform a multitude of competing, time-sensitive tasks
2) These tasks are not always compatible w/ rounding
Some early thoughts:
1) Every AM, trainees are asked to perform a multitude of competing, time-sensitive tasks
2) These tasks are not always compatible w/ rounding
2/
3) There is incredible heterogeneity in what "rounding" looks like and how long it lasts (b/w institutions, b/w teams, but also from day-to-day on same team!)
4) Is there any other profession that has this much variability in one of its core activities?
3) There is incredible heterogeneity in what "rounding" looks like and how long it lasts (b/w institutions, b/w teams, but also from day-to-day on same team!)
4) Is there any other profession that has this much variability in one of its core activities?
3/
5) With new attendings/residents every few weeks—each of whom has different expectations for "rounds"—the goalposts are constantly moving for our trainees
6) Facing shifting expectations, it's tough to feel autonomous or like you’re working toward mastery (⬆️ burnout risk)
5) With new attendings/residents every few weeks—each of whom has different expectations for "rounds"—the goalposts are constantly moving for our trainees
6) Facing shifting expectations, it's tough to feel autonomous or like you’re working toward mastery (⬆️ burnout risk)
4/
7) Rounds must be flexible, but a shared understanding of purpose would set EVERYONE on the team up for success!
8) Perhaps it would be helpful to define objectives (not learning objectives per se, but “rounding objectives”)
7) Rounds must be flexible, but a shared understanding of purpose would set EVERYONE on the team up for success!
8) Perhaps it would be helpful to define objectives (not learning objectives per se, but “rounding objectives”)
5/
I’d love to hear what #MedTwitter thinks!
In 2019, what is the purpose of inpatient medicine rounds? What should our rounding objectives be?
#whyweround
@RJmdphilly @rebeccabermanmd @aoglasser @andrewolsonmd @WrayCharles @GStetsonMD @DxRxEdu @rabihmgeha @FutureDocs @abbyCCim
I’d love to hear what #MedTwitter thinks!
In 2019, what is the purpose of inpatient medicine rounds? What should our rounding objectives be?
#whyweround
@RJmdphilly @rebeccabermanmd @aoglasser @andrewolsonmd @WrayCharles @GStetsonMD @DxRxEdu @rabihmgeha @FutureDocs @abbyCCim
