Grand Rounds are widely used in medicine for educating students comprehensively about clinical issues. The aim of this study was to explore the value of Grand Rounds for introducing first- (D1) and second-year (D2) dental students to an interdisciplinary approach to dental care. The objectives were to explore how interested students were in various topics, which topics they would like to see ad...

The quest to improve teaching on a wide scale is an enduring challenge globally. Yet demonstrable improvement in quality both elusive and slow. In this essay, I explore some of the complexities that contribute slow pace change, including: slippage between teachers as object improvement; poorly defined concept good teaching; difficulty demonstrating institutional constraints efforts; growing web...

Chalk talks - where the teacher is equipped solely with a writing utensil and a writing surface - have been used for centuries, yet little has been written about strategies for their use in medical education. Structured education proximal to patient encounters (during rounds, at the bedside, or in between patients in clinic) maximizes the opportunities for clinical learning. This paper presents...

One hundred patients on four general surgical wards in a large teaching hospital were interviewed about the information they had received about their illness and what they had been told about the investigations they had undergone. Fifty-five of them expressed some dissatisfaction and 14 were strongly dissatisfied. The way in which ward rounds were conducted was heavily criticised, but most pati...

This prospective observational study assessed the impact of the changes in junior doctors' working hours and waiting-time initiatives on teaching and learning opportunities for junior doctors in acute medicine. An audit cycle of post-take ward rounds including all medical admissions to an urban teaching hospital was conducted. During two seven-day periods in July 2006 and 2008, 317 and 354 pati...

OBJECTIVE To determine the content and urgency of pages and their effect on the activities of pediatric residents. DESIGN Prospective survey. SETTING University-affiliated teaching hospital. PARTICIPANTS Seventeen pediatric residents on regular pediatric services. INTERVENTIONS None. MEASUREMENTS/MAIN RESULTS On daily logs, interns recorded the activity interrupted by a page and rated...

C medicine has witnessed unexpected challenges in the recent years. Technological advances have resulted in increased reliance on investigation and gradual demise of routine physical examination.1 In a recent report, it was observed that attendings spend only one tenth of their time in the daily bedside rounds.2 Bedside rounds, being the tradition of medicine, have many benefits. It is a better...

With the emerging trend of patient family-centered care in health care, it is essential that physicians be exposed to patient and family perspectives of care during medical education and training. Grand Rounds provides an ideal format for physicians to learn about patient family-centered care. At Brigham and Women's Hospital, we sought to bring the voice of the patient to Patient Family-Centere...