Learners value efficiency. As I recall my residency, nothing caused more angst than unnecessarily long rounds. In the 1970s just like in the 2010s, I had much to do after rounds ended.
As an attending physician, my responsibilities involve patient care and aiding learning. I have always worked hard to do that within a time constraint. The time constraint requires that rounds run efficiently.
Like many things in medicine, efficiency only works when we learn to prioritize both patient care and teaching. Rounds at many institutions have evolved into work rounds. Many attending physicians manage almost every detail during these rounds. Is this necessary? This article suggests not: “What Happens When the Attending Comes to Work Rounds?”
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