Counterpoint: The value of including patients in prerounding

Hartley, Sarah; Heidemann, Lauren; Anderson, Mel

doi:10.1002/jhm.13076

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…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%

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.

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Section: Introductionmentioning

confidence: 99%

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

“…It is clear Hartley et al 1 are thoughtful clinicians with a desire to educate. However, we don't think their arguments for continuing the outdated practice of prerounding reflect the modern state of medicine as we see it and as medical students and intern doctors experience it.…”

mentioning

confidence: 99%

“…While laudable, the clinical examples Hartley et al 1 provide are anecdotal. There is no evidence prerounding provides better patient outcomes.…”

mentioning

confidence: 99%