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Asking a Variety of Questions on Walk Rounds: a Pilot Study.


ABSTRACT:

Background

Morning walk rounds have lost some of their engagement while remaining a useful and valued practice.

Aim

We created a pilot study to evaluate the impact on rounds of learning to asking a variety of different questions.

Setting

One-hour intervention sessions were voluntarily offered to members of the Department of Medicine and taught by an expert in the question, listen, and respond method.

Participants

Participants included attendings and residents in Internal Medicine on medical teams.

Program description

Questionnaires were collected on six pre-intervention and six post-intervention days. Nine months later, an anonymous online survey was sent to participants asking about their use of a wider variety of questions.

Program evaluation

Two hundred eight physicians (residents 175 (45.5%), attending physicians 25 (27.7%)) filled out pre-intervention surveys. One hundred eighty-one physicians (residents 155 (40.3%), attending physicians 18 (20%)) filled out post-intervention surveys. When survey responses from the attendings and residents on the medical teams were combined, post-intervention rounds were perceived as more worthwhile (1.99 pre-intervention and 1.55 post-intervention, [95% confidence interval 1.831-2.143]) (p?DiscussionThis pilot study indicates that the 1-h intervention of learning to ask a variety of different questions is associated with rounds that are rated as more worthwhile and engaging by the medical teams.

SUBMITTER: Shields HM 

PROVIDER: S-EPMC5975163 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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Publications

Asking a Variety of Questions on Walk Rounds: a Pilot Study.

Shields Helen M HM   Pelletier Stephen R SR   Roy Christopher L CL   Honan James P JP  

Journal of general internal medicine 20180327 6


<h4>Background</h4>Morning walk rounds have lost some of their engagement while remaining a useful and valued practice.<h4>Aim</h4>We created a pilot study to evaluate the impact on rounds of learning to asking a variety of different questions.<h4>Setting</h4>One-hour intervention sessions were voluntarily offered to members of the Department of Medicine and taught by an expert in the question, listen, and respond method.<h4>Participants</h4>Participants included attendings and residents in Inte  ...[more]

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