Point: Routine prerounding with patients has significant costs, negligible benefits

Ue, Frances; Kaminski, Martin

doi:10.1002/jhm.13075

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…Interestingly, the tradition of pre-rounding is unique to the American medical system. 1 It is likely the result of the combination of historical circumstances. In the 1970s, as residents were able to take on responsibility for private patients and have their notes serve as the legal record, the attending physician became less present on the wards.…”

Section: Introductionmentioning

confidence: 99%

“…Some additionally, argue that in Europe and Canada where the American prerounding does not exist, patients are cared for equally well. 1…”

Section: Introductionmentioning

confidence: 99%

“…Some additionally, argue that in Europe and Canada where the American prerounding does not exist, patients are cared for equally well. 1 In an age where physician burn out is at an all-time high, 3 hospitals are at extreme censuses, and duty hour compliance is frequently in the forefront of residents' minds, any adjustment to the day-to-day structure of rounding that does not negatively impact patient care is highly valued. While there have multiple opinion pieces 1,4,5 regarding the utility or harm of in-person prerounding, there is a lack of data to support position.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perception of In-Person Prerounding Amongst Neurology Residents Across Two Academic Centers

Chen,

Prasad,

Bowley

et al. 2024

The Neurohospitalist

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Background and Purpose In-person prerounding has long been a routine practice for residents in the field of neurology. However, with the emergence of the COVID-19 pandemic, many institutions, including our two academic neurology centers, have shifted to computer rounding. This study aims to assess the effects of computer rounding alone compared to a combination of computer rounding and in-person prerounding from the perspective of neurology residents. Methods A mixed-methods approach was employed, including a survey administered to 79 neurology residents and a qualitative thematic analysis of their responses. Results The quantitative analysis revealed that residents who engaged in inperson prerounding spent significantly more time on prerounding and computer rounding compared to those who did not. The majority of residents reported a neutral effect of in-person prerounding on their relationship with patients and bedside time, but a significant impact on personal lives and other tasks. Qualitative analysis identified four key themes: accessibility to team members, learning opportunities gained and lost, inefficiency, and sleep disturbance. Conclusions Overall, residents perceived in-person prerounding as inefficient and causing sleep disruption for both patients and themselves. While some residents valued the face-to-face interaction and improved accessibility, others felt that computer rounding allowed for thorough review of patient data, improving preparedness and efficiency. The potential elimination of in-person prerounding from residents' routines may enhance their overall wellbeing. Further research is needed to assess the advantages and drawbacks of removing this classic approach to caring for patients from the perspective of residents, attendings and patients.

show abstract

Section: Introductionmentioning

confidence: 99%

“…Some additionally, argue that in Europe and Canada where the American prerounding does not exist, patients are cared for equally well. 1…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perception of In-Person Prerounding Amongst Neurology Residents Across Two Academic Centers

Chen,

Prasad,

Bowley

et al. 2024

The Neurohospitalist

View full text Add to dashboard Cite

show abstract

“…We appreciate the “Point” perspective that routine prerounding “does not provide value to patients or learners, and has real harms to patients and medical trainees alike.” 1 We agree that teaching hospitals must prioritize the needs of both patients and learners, including making deliberate choices about the educational models employed. However, we believe the justifications presented for eliminating prerounding fall short when subjected to deeper scrutiny and when compared with realistic counterexamples.…”

Section: Introductionmentioning

confidence: 99%