Patient Centered Rounds

Over the past 70 years, teaching rounds in training hospitals have moved from the bedside to rounding rooms.

Traditional rounding often leaves patients and learners feeling rushed and unfulfilled. In fact, data suggests the average PGY-1 resident only spends about 8 minutes per day in a room with each patient.

In 2010 we launched an initiative called Project RENEW (Revitalizing the patieNT Experience on the Wards).

The most important result of Project RENEW was the creation of our inter-professional bedside rounding teams. These teams are dynamic, fluid, and patient-centered.

Even with our many years of work, the COVID-19 pandemic altered our rounding strategies. In the spring of 2021 we launched The Patient-Centered Rounding Improvement Group, dedicated to ensuring teams are getting Back to the Bedside. 

In 2022, one of our Associate Program Directors, Danielle Clark, was awarded the  Barondess Fellowship in the Clinical Transaction. Her 2-year project will be to find evidence based ways to round with a team at the bedside. 

As we re-envision rounds in the post-COVID-19 era we know that flexibility around a core set of principles remains key:

1. Rounds should meet the needs of the patient AND be efficient for the medical team -- process should be driven by outcomes
2. Rounds should include an interprofessional group
3. Patients should be able to articulate what is happening to them
4. Teams should ensure the patient can safely care for him/herself at home (or if not, arrange proper caregivers)
5. Teams should ensure high quality care (maximizing the positive) and highly safe care (minimizing the negative)

Click on the links below to view a series of brief videos showing examples of our bedside rounds in action (or search UCINTMED in YouTube).

Newer Videos

Patient Centered Rounds Overview

Providing A Safe Environment for Intern Presentations

Providing the Right Amount of Data at the Bedside

Involving Friends and Family During Bedside Rounds

Inpatient Resident Assessment: The Case for Bedside Rounds

Older Videos

Starting a Bedside Rounding Encounter

Presenting the Patient History at the Bedside

Performing the Physical Exam on Rounds

Presenting Labs at the Bedside

Reviewing the Assessment and Plan at the Bedside

Teachback at the Bedside

Minimizing Unfamiliar Terms at the Bedside

The Value of Interprofessional Rounds

Organizing Work after Interprofessional Rounds

Oldest Videos

University of Cincinnati Internal Medicine Project RENEW Part 1

University of Cincinnati Internal Medicine Project RENEW Part 2

University of Cincinnati Internal Medicine Project RENEW part 3