Improving Trainee Education During Family-Centered Rounds: A Resident’s Perspective

Abstract

Dr Stanski conceptualized the topic, drafted the initial manuscript, and reviewed and revised the manuscript; Dr Patel conceptualized the topic and critically reviewed and revised the manuscript; and both authors approved the fi nal manuscript as submitted.

Current Caregiver Perspectives and Effects of Demographics on Family-Centered Rounds

“…Since the AAP began advocating FCRs in 2003, extensive research has been conducted exploring the reception of FCRs among medical staff and patients. [5][6][7][8][9][10][11] A small number of studies 10,12,13 have looked at caregiver satisfaction with FCRs and concluded that they appreciate FCRs for providing better communication and increasing their understanding of their child's condition. Some of these studies also cited suggestions for improvement, which included the need to use more lay terminology.…”

Increasing Physical Exam Teaching on Family-Centered Rounds Utilizing a Web-Based Tool

“…In an era where resident duty hours are restricted and there may be less time for teaching, incorporating more efficient and effective methods are both useful and necessary. 30 …”

Questioning Family-Centered Rounds: A Pediatric Resident's Challenge

“…2,3 However, gaps in our evidence prevail, specifically pertaining to vulnerable patient, family, and learner perspectives. [4][5][6][7][8][9][10] Have we adopted FCR as a standard of care prematurely?…”

“…Family-centered rounds model communication and demonstrate examination findings, but the bedside may not be an optimal environment for all education. [7][8][9][10] When we promote transparency by discouraging conversations away from patients and families, teaching about what differentiates each patient and the broader context of population-based medical decision-making may be missed. One might argue that this education should be at the bedside, but in my experience, extensive discussions about medicine extraneous to an individual's care can be anxiety provoking for families and may not be in their best interest.…”

“…I fumbled through our team's plan, struggling to understand our medical decision-making yet feeling unable to ask about it at the bedside. Trainees have expressed concern about appearing less knowledgeable in front of patients, [7][8][9][10] and I worry because parents and I share the expectation that I as a physician will understand the medical decision-making informing their child's care. In fact, 67% of residents were less likely to ask an attending a question about patient management in front of a family, which is concerning, since optimal patient care and education may be stifled at the bedside.…”