Lessons From The Grand Rounds :
- How have grand rounds evolved over time and what are the current challenges and opportunities? - What are the main objectives and takeaways of this article? H2: The history and evolution of grand rounds - The origin and purpose of grand rounds in the 19th century - The expansion and diversification of grand rounds in the 20th century - The impact of technology and innovation on grand rounds in the 21st century H2: The benefits and limitations of grand rounds - The advantages of grand rounds for enhancing clinical knowledge, skills, and judgment - The drawbacks of grand rounds for addressing individual learning needs, preferences, and styles - The evidence and feedback on the effectiveness and satisfaction of grand rounds H2: The best practices and recommendations for grand rounds - The essential elements and criteria for designing and delivering high-quality grand rounds - The strategies and tips for engaging and motivating learners and speakers in grand rounds - The methods and tools for evaluating and improving grand rounds H1: Conclusion - A summary of the main points and lessons from the article - A call to action for readers to apply and share what they learned from the article - A thank you note and a request for feedback from the readers Table 2: Article with HTML formatting Introduction
If you are a medical professional or a student, you have probably attended or heard of grand rounds. Grand rounds are a method of medical education and inpatient care that involves presenting the medical problems and treatment of a particular patient to an audience of doctors, pharmacists, residents, and medical students. Grand rounds are usually held weekly or monthly in most departments at major teaching hospitals.
Grand rounds are not only a way to learn about new developments and best practices in medicine, but also a way to showcase excellence, promote collegiality, and foster collaboration among different disciplines and specialties. Grand rounds can also help doctors and other healthcare professionals keep up to date in important evolving areas that may be outside of their core practice.
However, grand rounds are not without challenges and limitations. Some of the common issues that affect the quality and effectiveness of grand rounds include lack of relevance, interactivity, feedback, evaluation, diversity, and accessibility. Moreover, with the rapid changes and innovations in medicine and technology, grand rounds need to adapt and evolve to meet the needs and expectations of modern learners and speakers.
In this article, we will explore the history and evolution of grand rounds, the benefits and limitations of grand rounds, and the best practices and recommendations for grand rounds. By the end of this article, you will have a better understanding of what grand rounds are, why they matter, how they work, and how they can be improved. You will also learn some valuable lessons from the experience and expertise of others who have participated in or organized grand rounds.
The history and evolution of grand rounds
The origin and purpose of grand rounds can be traced back to the 19th century, when clinicians such as Sir William Osler at Johns Hopkins Hospital used them as a way for junior colleagues to round on patients. The patient was traditionally present for the round and would answer questions from the audience. The main goal was to teach clinical reasoning, diagnosis, management, ethics, communication, empathy, professionalism, and humanism through real-life cases.
In the 20th century, grand rounds expanded and diversified to include more topics, specialties, formats, speakers, locations, audiences, objectives, outcomes, and accreditation standards. Grand rounds became more like lectures than case discussions, and often focused on updates in research, evidence-based practice, guidelines, policies, controversies, and innovations in medicine. The patient was rarely present for the round, and sometimes replaced by an actor or a video recording. The main goal was to disseminate new knowledge, information, and skills to a large and diverse group of learners and speakers.
In the 21st century, grand rounds have been influenced by the impact of technology and innovation on medicine and education. Some of the trends and developments that have shaped grand rounds include online platforms, streaming video, podcasts, social media, blogs, webinars, virtual reality, artificial intelligence, personalized medicine, interprofessional education, competency-based education, flipped classroom, gamification, simulation, and feedback systems. These technologies and innovations have enabled grand rounds to be more accessible, interactive, engaging, customized, collaborative, diverse, inclusive, flexible, and measurable. The main goal is to enhance the quality and effectiveness of medical education and patient care in a dynamic and complex environment.
The benefits and limitations of grand rounds
Grand rounds have many benefits for medical education and patient care. Some of the advantages of grand rounds include:
They provide an opportunity for learners and speakers to update their clinical knowledge, skills, and judgment in various areas of medicine.
They expose learners and speakers to different perspectives, experiences, and expertise from various disciplines and specialties.
They foster a culture of lifelong learning, curiosity, and inquiry among learners and speakers.
They enhance the professional development, recognition, and reputation of learners and speakers.
They facilitate the dissemination and implementation of new research findings, best practices, guidelines, policies, and innovations in medicine.
They improve the quality and safety of patient care by promoting evidence-based practice, clinical reasoning, decision making, communication, collaboration, and ethics.
However, grand rounds also have some limitations and challenges that affect their quality and effectiveness. Some of the drawbacks of grand rounds include:
They may not address the individual learning needs, preferences, and styles of learners and speakers.
They may not be relevant, applicable, or transferable to the actual clinical practice of learners and speakers.
They may not be interactive, engaging, or motivating enough for learners and speakers.
They may not provide adequate feedback, evaluation, or assessment for learners and speakers.
They may not reflect the diversity, inclusion, and equity of learners and speakers.
They may not be accessible, convenient, or affordable for learners and speakers.
The evidence and feedback on the effectiveness and satisfaction of grand rounds are mixed and inconclusive. Some studies have shown positive outcomes and perceptions of grand rounds for improving knowledge, skills, attitudes, behaviors, and performance of learners and speakers. Other studies have shown negative or neutral outcomes and perceptions of grand rounds for achieving these goals. The variability and inconsistency of the results may depend on various factors such as the topic, format, speaker, audience, setting, objective, outcome, and measurement of grand rounds.
The best practices and recommendations for grand rounds
To improve the quality and effectiveness of grand rounds, there are some essential elements and criteria that should be considered when designing and delivering them. Some of these elements and criteria include:
The topic should be relevant, timely, interesting, and important for the clinical practice of learners and speakers.
The format should be interactive, engaging, diverse, and flexible for the learning needs and preferences of learners and speakers.
The speaker should be knowledgeable, experienced, credible, enthusiastic, and respectful for the topic and audience of grand rounds.
The audience should be diverse, inclusive, equitable, curious, and respectful for the speaker and topic of grand rounds.
The setting should be accessible, convenient, comfortable, and conducive for the learning environment and objectives of grand rounds.
The objective should be clear, specific, measurable, achievable, and relevant for the learning outcome and evaluation of grand rounds.
The outcome should be meaningful,