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. 1996 Feb;42:301–306.

Hospital grand rounds in family medicine. Content and educational structure.

R Lewkonia 1, M Sosnowski 1, F Murray 1
PMCID: PMC2146282  PMID: 9222579

Abstract

OBJECTIVE: To investigate hospital grand rounds in family medicine, to examine their content and organization, and to recommend improved educational structures for these ubiquitous continuing medical education events. DATA SELECTION: Retrospective analysis of titles and content of 358 family medicine grand rounds offered in the department of family medicine of a large urban hospital from mid-1983 to the end of 1994. FINDINGS: Only 10% of family medicine grand rounds were presented by family physicians. Most grand rounds were in the form of specialists exhibiting their own interests in a lecture format. Analysis of grand rounds titles showed no consistent pattern of topics but an emphasis on practical aspects of medical care. Patient-based presentations were uncommon, as were grand rounds with more than one speaker. CONCLUSIONS: The content and mix of topics appeared appropriate, but in the absence of a curricular structure, or evaluation of learning gain, it is difficult to assess the value of grand rounds.

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Selected References

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  1. Bosk C. L. Occupational rituals in patient management. N Engl J Med. 1980 Jul 10;303(2):71–76. doi: 10.1056/NEJM198007103030203. [DOI] [PubMed] [Google Scholar]
  2. Davis D. A., Thomson M. A., Oxman A. D., Haynes R. B. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA. 1995 Sep 6;274(9):700–705. doi: 10.1001/jama.274.9.700. [DOI] [PubMed] [Google Scholar]
  3. File T. M., Jr, Tan J. S. Community-acquired pneumonia. The changing picture. Postgrad Med. 1992 Dec;92(8):197-8, 201-8, 211-4. doi: 10.1080/00325481.1992.11701560. [DOI] [PubMed] [Google Scholar]
  4. Haines C. S., Thomas Z. Assessing needs for palliative care education of primary care physicians: results of a mail survey. J Palliat Care. 1993 Spring;9(1):23–26. [PubMed] [Google Scholar]
  5. Hull A. L., Cullen R. J., Hekelman F. P. A retrospective analysis of grand rounds in continuing medical education. J Contin Educ Health Prof. 1989;9(4):257–266. doi: 10.1002/chp.4750090410. [DOI] [PubMed] [Google Scholar]
  6. Kassirer J. P., Kopelman R. I. Clinical problem solving at grand rounds. Hosp Pract (Off Ed) 1990 Apr 15;25(4):51, 54-5, 58-9, passim. doi: 10.1080/21548331.1990.11703933. [DOI] [PubMed] [Google Scholar]
  7. Kelly M. H., Murray T. S. General practitioners' views on continuing medical education. Br J Gen Pract. 1994 Oct;44(387):469–471. [PMC free article] [PubMed] [Google Scholar]
  8. Legnani D., Lombardo V. M., Negretto G. G., Beghi G., Caratozzolo O. Comparative clinical and microbiological study of amoxycillin-clavulanic acid and ciprofloxacin in acute purulent exacerbations of chronic bronchitis. J Hosp Infect. 1992 Nov;22 (Suppl A):69–74. doi: 10.1016/s0195-6701(05)80009-x. [DOI] [PubMed] [Google Scholar]
  9. Lewkonia R. M., Murray F. R. Grand rounds: a paradox in medical education. CMAJ. 1995 Feb 1;152(3):371–376. [PMC free article] [PubMed] [Google Scholar]
  10. Manning P. R. Continuing education needs of health care professionals. Bull Med Libr Assoc. 1990 Apr;78(2):161–164. [PMC free article] [PubMed] [Google Scholar]
  11. McLeod P. J., Gold P. Medical grand rounds: alive and well and living in Canada. CMAJ. 1990 May 15;142(10):1053–1056. [PMC free article] [PubMed] [Google Scholar]
  12. Perkin R. L. Continuing medical education revisited. Can Fam Physician. 1993 Oct;39:2287–2288. [PubMed] [Google Scholar]
  13. Premi J., Shannon S., Hartwick K., Lamb S., Wakefield J., Williams J. Practice-based small-group CME. Acad Med. 1994 Oct;69(10):800–802. doi: 10.1097/00001888-199410000-00002. [DOI] [PubMed] [Google Scholar]
  14. Rademaker C. M., Sips A. P., Beumer H. M., Hoepelman I. M., Overbeek B. P., Möllers M. J., Rozenberg-Arska M., Verhoef J. A double-blind comparison of low-dose ofloxacin and amoxycillin/clavulanic acid in acute exacerbations of chronic bronchitis. J Antimicrob Chemother. 1990 Nov;26 (Suppl 500):75–81. doi: 10.1093/jac/26.suppl_d.75. [DOI] [PubMed] [Google Scholar]
  15. Richmond D. E. The educational value of grand rounds. N Z Med J. 1985 Apr 24;98(777):280–282. [PubMed] [Google Scholar]

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