Grand rounds are a methodology of medical education and inpatient care, consisting of presenting the medical problems and treatment of a particular patient to an audience consisting of doctors, pharmacists, residents, and medical students. It was first conceived by clinicians as a way for junior colleagues to round on patients.[1] The patient was traditionally present for the round and would answer questions;[citation needed] grand rounds have evolved with most sessions rarely having a patient present and being more like lectures. An actor portrays the patient in some instances.[1]
Originally a patient-centered experience aimed at increasing clinician knowledge for treating unique cases, today Grand Rounds is more commonly used to educate students, showcase faculty role models, and promote collegiality in clinical settings[1]
Shana Stites and Christina Warholic, Chestnut Hill College
Grand rounds help doctors and other healthcare professionals keep up to date in important evolving areas which may be outside of their core practice. Most departments at major teaching hospitals will have their own specialized, often weekly, grand rounds. Attending grand rounds is also an important supplement to medical school and on-the-job resident training. Grand rounds can also be distinguished from rounds which is the (typically) daily visit by the attending physician and team to all that physician's patients on the ward. Rounding with an attending physician is an important part of medical on-the-job training and education, but its primary focus is immediate care for the patients on the ward. Grand rounds tends to present the bigger picture, including experience with patients over many years, and the newest research and treatments in an area. Grand rounds tend to be open to the entire medical professional community, whereas rounds are specific to individual attending physicians and their teams.
A 1966 report in the Australian journal Clinical Pediatrics called into question the sometimes inconsiderate behavior of practitioners who treated patients who were featured cases of grand rounds.[2]
Video archives
Many teaching and research hospitals have started providing streaming video of their grand rounds presentations for free over the Internet.[3][4] This is an opportunity for medical professionals and students to improve their knowledge, and builds on one of the core values of the Hippocratic Oath – that medical education should be provided for free, and that doctors should actively and openly share their knowledge without compensation in order to improve patient care.
Many of these organizations provide an archive of several years of recent grand rounds presentations and as such offer a tremendous resource for increasing medical knowledge and improving patient care.
Stites, Shana D.; Warholic, Christina L. (2014). "Multicultural Grand Rounds: Competency-Based Training Model for Clinical Psychology Graduate Students". Psychology Learning & Teaching. 13 (3): 261–269. CiteSeerX10.1.1.1031.9151. doi:10.2304/plat.2014.13.3.261. S2CID147487820.
Pediatrics is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, paediatrics covers many of their youth until the age of 18. The American Academy of Pediatrics recommends people seek pediatric care through the age of 21, but some pediatric subspecialists continue to care for adults up to 25. Worldwide age limits of pediatrics have been trending upward year after year. A medical doctor who specializes in this area is known as a pediatrician, or paediatrician. The word pediatrics and its cognates mean "healer of children", derived from the two Greek words: παῖς and ἰατρός. Pediatricians work in clinics, research centers, universities, general hospitals and children's hospitals, including those who practice pediatric subspecialties.
A medical school is a tertiary educational institution, professional school, or forms a part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, Bachelor of Surgery, Master of Medicine, Doctor of Medicine (MD), or Doctor of Osteopathic Medicine (DO). Many medical schools offer additional degrees, such as a Doctor of Philosophy (PhD), master's degree (MSc) or other post-secondary education.
The United States has more teaching hospitals than any other country in the world.
The Medical University of South Carolina (MUSC) is a public medical school in Charleston, South Carolina. It opened in 1824 as a small private college aimed at training physicians and has since established hospitals and medical facilities across the state. It is one of the oldest continually operating schools of medicine in the United States and the oldest in the Deep South.
Hospital medicine is a medical specialty that exists in some countries as a branch of family medicine or internal medicine, dealing with the care of acutely ill hospitalized patients. Physicians whose primary professional focus is caring for hospitalized patients only while they are in the hospital are called hospitalists. Originating in the United States, this type of medical practice has extended into Australia and Canada. The vast majority of physicians who refer to themselves as hospitalists focus their practice upon hospitalized patients. Hospitalists are not necessarily required to have separate board certification in hospital medicine.
Residency or postgraduate training is a stage of graduate medical education. It refers to a qualified physician, veterinarian, dentist, podiatrist (DPM) or pharmacist (PharmD) who practices medicine, veterinary medicine, dentistry, podiatry, or clinical pharmacy, respectively, usually in a hospital or clinic, under the direct or indirect supervision of a senior medical clinician registered in that specialty such as an attending physician or consultant. In many jurisdictions, successful completion of such training is a requirement in order to obtain an unrestricted license to practice medicine, and in particular a license to practice a chosen specialty. In the meantime, they practice "on" the license of their supervising physician. An individual engaged in such training may be referred to as a resident, registrar or trainee depending on the jurisdiction. Residency training may be followed by fellowship or sub-specialty training.
The University of North Texas Health Science Center is a public academic health science center in Fort Worth, Texas. It is part of the University of North Texas System and was founded in 1966 as the Texas College of Osteopathic Medicine, with its first cohort admitted in 1970. UNT Health Science Center consists of six schools with a total enrollment of 2,329 students (2020–21).
Medical education in Australia includes the educational activities involved in the initial and ongoing training of Medical Practitioners. In Australia, medical education begins in Medical School; upon graduation it is followed by a period of pre-vocational training including Internship and Residency; thereafter, enrolment into a specialist-vocational training program as a Registrar eventually leads to fellowship qualification and recognition as a fully qualified Specialist Medical Practitioner. Medical education in Australia is facilitated by Medical Schools and the Medical Specialty Colleges, and is regulated by the Australian Medical Council (AMC) and Australian Health Practitioner Regulation Agency (AHPRA) of which includes the Medical Board of Australia where medical practitioners are registered nationally.
A medicalintern is a physician in training who has completed medical school and has a medical degree, but does not yet have a license to practice medicine unsupervised. Medical education generally ends with a period of practical training similar to internship, but the way the overall program of academic and practical medical training is structured differs depending upon the country, as does the terminology used.
The Lewis Katz School of Medicine at Temple University (LKSOM), located on the Health Science Campus of Temple University in Philadelphia, Pennsylvania. It is one of seven schools of medicine in Pennsylvania that confers the Doctor of Medicine degree. It also confers Ph.D and M.S. degrees in biomedical science, and offers a Narrative Medicine program.
Narrative Medicine is the discipline of applying the skills used in analyzing literature to interviewing patients. The premise of narrative medicine is that how a patient speaks about his or her illness or complaint is analogous to how literature offers a plot with characters and is filled with metaphors, and that becoming conversant with the elements of literature facilitates understanding the stories that patients bring. Narrative Medicine is a diagnostic and comprehensive approach that utilizes patients' narratives in clinical practice, research, and education to promote healing. Beyond attempts to reach accurate diagnoses, it aims to address the relational and psychological dimensions that occur in tandem with physical illness. Narrative medicine aims not only to validate the experience of the patient, it also encourages creativity and self-reflection in the physician.
How Doctors Think is a book released in March 2007 by Jerome Groopman, the Dina and Raphael Recanati Chair of Medicine at Harvard Medical School, chief of experimental medicine at Beth Israel Deaconess Medical Center in Boston, and staff writer for The New Yorker magazine.
The Sloane Hospital for Women is the obstetrics and gynecology service within NewYork-Presbyterian Hospital and the Department of Obstetrics and Gynecology of the Columbia University College of Physicians and Surgeons (P&S) in New York City. It was founded in 1886 with Columbia P&S as a training and treatment center for obstetrics. It has provided over 100 years of obstetrical care. The hospital is located within Morgan Stanley Children's Hospital.
A clinical officer (CO) is a gazetted officer who is qualified and licensed to practice medicine.
Clinical clerkships encompass a period of medical education in which students – medical, nursing, dental, or otherwise – practice medicine under the supervision of a health practitioner.
The University of Florida College of Medicine – Jacksonville is the largest of the three University of Florida Health Science Center Jacksonville colleges — medicine, nursing and pharmacy. The college's 16 clinical science departments house more than 440 faculty members and 380 residents and fellows. The college offers 34 accredited graduate medical education programs and 10 non-standard programs.
Cultural competence in healthcare refers to the ability for healthcare professionals to demonstrate cultural competence toward patients with diverse values, beliefs, and feelings. This process includes consideration of the individual social, cultural, and psychological needs of patients for effective cross-cultural communication with their health care providers. The goal of cultural competence in health care is to reduce health disparities and to provide optimal care to patients regardless of their race, gender, ethnic background, native languages spoken, and religious or cultural beliefs. Cultural competency training is important in health care fields where human interaction is common, including medicine, nursing, allied health, mental health, social work, pharmacy, oral health, and public health fields.
Kimberly Dyan Manning is an American physician. She currently serves as a Professor of Medicine as well as the Associate Chair of Diversity, Equity, and Inclusion for the Department of Medicine at Emory University School of Medicine in Atlanta, Georgia. Manning has been recognized at the national level for her mentorship and teaching as well as her blogging and public speaking. She is the winner of the ACGME Parker J. Palmer Courage To Teach Award, the Evangeline Papageorge Award, and her blog “Reflections of a Grady Doctor” was named as one of the top four medical blogs by “O” The Oprah Magazine.
A teaching hospital is a hospital or medical centre that provides medical education and training to future and current health professionals. Teaching hospitals are almost always affiliated with one or more universities and are often co-located with medical schools.
In the domain of hospital medicine, interdisciplinary bedside rounds are a collaborative approach to patient care that involves the participation of the bedside nurse, primary provider, and the patient. They are often joined by family members and allied health professionals such as the patient's pharmacist and case manager.
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