Patient Centered Rounds
Over the past 70 years, teaching rounds in training hospitals have moved from the bedside to rounding rooms.
Recent data suggests the average PGY-1 resident spends about 8 minutes per day in a room with each patient.
As a result, traditional rounding often leaves patients and learners feeling rushed and unfulfilled.
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.
Almost all of our work is done at the bedside and we include the patient at the center of the experience.
You will learn to make correct medical decisions ans you will learn how to fit these decisions in the context of your patient’s life.
Importantly, you will learn how to assess and improve a patient’s sense of self efficacy. Does the patient know what is going on with his/her medical care? Do they have the knowledge and skills to care for themselves when they go home?
We don’t round the same way on every patient – the key is flexibility around a core set of principles:
1. Rounds should meet the needs of the patient AND be efficient for the medical team
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).