PMID: 3772965Nov 1, 1986Paper

Characteristics of house staff work rounds on two academic general medicine services

Journal of Medical Education
N P WrayA J Zollo

Abstract

In this study, the authors determined how residents in internal medicine allotted their time during patient management rounds (work rounds). Fourteen house staff teams were observed for four days each, and the time spent on all activities was recorded. Of the 56 days studied, work rounds were not conducted on nine days. On the 47 days during which work rounds occurred, only 502 (76.4 percent) of a possible 657 visits to patients were made. Daily time spent on work rounds by each team averaged 49.4 minutes (range: 23.9 to 73.1), or 4.6 minutes (range: 2.3 to 6.6) per patient evaluated. Some part of a physical examination was performed on only 44 percent of the patients. For those patients examined, the average time of an examination was approximately one minute per patient. Vital signs sheets and medication sheets were reviewed infrequently. This study suggests that medical educators should be concerned about the thoroughness of house staff work rounds.

Citations

Aug 1, 1994·Journal of Community Health·A Boutros, R K Della Ratta
Apr 1, 1994·Journal of General Internal Medicine·C M AshtonJ W Scheurich
Jul 14, 2010·BMC Medical Education·Muhammad TariqJaweed Akhter
Jun 1, 1993·The American Journal of Medicine·C Parenti, N Lurie
May 20, 2015·The Clinical Teacher·Rachel HarveySimon Edgar
Jul 15, 2005·Current Opinion in Critical Care·Pratik PandharipandeE Wesley Ely
Jun 18, 2004·Medical Education·Kirsten NørgaardDiana Dolmans

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