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(1/8) #MedTwitter discussion for Sunday night:
Just listened to throwback @Plenary_Session podcast 2.07 with discussion between @VPrasadMDMPH and @adamcifu regarding a variety of topics. Fascinating discussion.
Just listened to throwback @Plenary_Session podcast 2.07 with discussion between @VPrasadMDMPH and @adamcifu regarding a variety of topics. Fascinating discussion.
(2/8) One comment from Vinay:
When patients are being presented on rounds, in the clinic, etc., the presenter should strive to maintain the attention of the people listening, including the attending and other trainees, with importance given to timing, delivery, cadence, etc.
When patients are being presented on rounds, in the clinic, etc., the presenter should strive to maintain the attention of the people listening, including the attending and other trainees, with importance given to timing, delivery, cadence, etc.
(3/8) I have been providing this feedback for yrs now to trainees of many levels, usually students but also residents, because I believe it helps make people better speakers in group meetings and other settings where speaking extemporaneously while ppl are listening is important.
(4/8) Yet, given the distracted nature of our current lives with phones, Twitter, e-mail, etc., the proliferation of EHRs, the fact that teaching attendings are given advice to review patients' charts before rounds to be better teachers, the nature of rounding has changed.
(5/8) In 2021, when pt turnover is much faster, what is the role of an orally presented full H+P (which can take a substantial amt of time), esp if there are many new admissions to be done, lots of pending work, and the attending has already reviewed the case in EHR beforehand?
(6/8) If trainees know the attendings have already looked at the data ahead of time, will it not feel superfluous, at least a bit?
Are we going through a ritual for the sake of going through it?
Is it in need of an overhaul?
Are we going through a ritual for the sake of going through it?
Is it in need of an overhaul?
(7/8) Ex: Should everyone come to rounds having read everything in EHR? Perhaps the presenter discusses the highlights and everything is predominantly a discussion. Would that be a more relevant, engaging, and modernized way to round?
Not endorsing this as such -- just an ex.
Not endorsing this as such -- just an ex.
(8/8) In ID, for example, I have observed versions of rounding with everyone on a computer looking at data while the case is being discussed. Is this bad? Or more efficient?
What is the purpose of trainees presenting from handwritten notes when EHRs are so widely available?
What is the purpose of trainees presenting from handwritten notes when EHRs are so widely available?
Feedback / discussion welcome! Very curious about different ppl's thoughts + approaches!
@sargsyanz @k_vaishnani @rav7ks @AnnKumfer @medrants @DxRxEdu @AdamRodmanMD @AvrahamCooperMD @JenniferSpicer4 @Darcy_ID_doc or others!
@sargsyanz @k_vaishnani @rav7ks @AnnKumfer @medrants @DxRxEdu @AdamRodmanMD @AvrahamCooperMD @JenniferSpicer4 @Darcy_ID_doc or others!
By the way, would LOVE the trainee perspective on this
@EvaAmenta @HollandKaplan @nepherson @FPengMD @CNemehMD @muradali_md @ssjaroudi
@EvaAmenta @HollandKaplan @nepherson @FPengMD @CNemehMD @muradali_md @ssjaroudi
