Skip to main content
Log in

An observational study of attending rounds

  • Brief Report
  • Published:
Journal of General Internal Medicine Aims and scope Submit manuscript

Abstract

The authors conducted an observational study of attending rounds to determine the current status of this form of clinical teaching in a university-based internal medicine department. Using two forms of measurement, questionnaires and timed observations, we found that 63% of attending physician time was spent in the conference room, 26% in hallways, and only 11% at the bedside. Significant differences were found between estimated and actual times, particularly in discussing previously admitted patients, patient interactions, data reviews, topic presentations, and the category of “other” activities. These results provide a framework for appraising attending rounds and identifying areas that may be improved with a teaching workshop intervention.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Shankel SW, Mazzaferri, EL. Teaching the resident in internal medicine—present practices and suggestions for the future. JAMA. 1986;256:725–9.

    Article  PubMed  CAS  Google Scholar 

  2. Johnson RA, Wichern DW. Applied multivariate statistical analysis, 2nd ed. Englewood Cliffs, NJ: Prentice Hall, 1988;211–3.

    Google Scholar 

  3. Kroenke K, Simmons JO, Copley, JB, Smith C. Attending rounds: a survey of physician attitudes. J Gen Intern Med. 1990;5:229–33.

    PubMed  CAS  Google Scholar 

  4. Engel GL. The deficiencies of the case presentation as a method of clinical teaching—another approach. N Engl J Med. 1971;284:20–4.

    Article  PubMed  CAS  Google Scholar 

  5. Linfors EW, Neelon FA. The case for bedside rounds. N Engl J Med. 1980;303:1230–3.

    Article  PubMed  CAS  Google Scholar 

  6. Reichsmann F, Browning FE, Hinshaw JR. Observations of undergraduate clinical teaching in action. J Med Educ. 1964;39:147–63.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by the Biomedical Research Support Grant Committee, Grant No.BRSG (2S07 RR05675-22).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Miller, M., Johnson, B., Greene, H.L. et al. An observational study of attending rounds. J Gen Intern Med 7, 646–648 (1992). https://doi.org/10.1007/BF02599208

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02599208

Key words

Navigation