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- Title
A pilot study using nominal group technique to assess residents' perceptions of successful attending rounds.
- Authors
Castiglioni, Analia; Shewchuk, Richard M.; Willett, Lisa L.; Heudebert, Gustavo R.; Centor, Robert M.
- Abstract
<bold>Background: </bold>Ward attending rounds are fundamental for internal medicine residency training. An improved understanding of interns' and residents' perceptions of attending rounds should inform training programs and attending physicians.<bold>Objectives: </bold>The aim of this study was to assess residents' perceptions of successful attending rounds.<bold>Design: </bold>We convened two groups of interns and two groups of residents, to elicit their perceptions on attending rounds.<bold>Subjects: </bold>Participants were recruited by e-mail and conference announcements from the 49 interns and 80 residents in the internal medicine and medicine-pediatrics residency programs.<bold>Measurements: </bold>The nominal group technique (NGT) uses a structured group process to elicit and prioritize answers to a carefully articulated question.<bold>Main Results: </bold>Seven interns (14%) identified 27 success factors and ranked attending approachability and enthusiasm and high quality teaching as most important. A second group of six (12%) interns identified 40 detractors and ranked having "mean attendings," receiving disrespectful comments, and too long or too short rounds as the most significant detractors. Nine (11%) residents identified 32 success factors and ranked attention to length of rounds, house staff autonomy, and establishing goals/expectations as the most important success factors. A second group of six (8%) residents identified 34 detractors and ranked very long rounds, interruptions and time constraints, and poor rapport between team members as the most significant detractors).<bold>Conclusions: </bold>Although there was some overlap in interns' and residents' perceptions of attending rounds, interns identified interpersonal factors as the most important factors; whereas residents viewed structural factors as most important. These findings should assist attending physicians improve the way they conduct rounds targeting both interns and residents needs.
- Subjects
RESIDENTS (Medicine); INTERNAL medicine; OCCUPATIONAL training; PHYSICIANS; TEACHING hospitals; TEACHING; ATTITUDE (Psychology); MEDICAL personnel; INTERNSHIP programs
- Publication
JGIM: Journal of General Internal Medicine, 2008, Vol 23, Issue 7, p1060
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-008-0668-z