Calling an Audible: Leading Family-Centered Rounds Like a Quarterback

By: Jimmy Beck, MD, MEd, acting assistant professor of pediatrics, University of Washington School of Medicine, Division of Pediatric Hospital Medicine, Seattle Children’s Hospital Note: At the time of the study mentioned in this blog post, the author was a pediatric hospital medicine fellow at Children’s National Medical Center, Washington, DC. Despite the fact that a policy statement from the American Academy of Pediatrics published in 2003 asserted that “conducting attending physician rounds in patients’ rooms with the family present should be standard practice,” I had not experienced family-centered rounds (FCR) until I began my hospitalist fellowship in 2011. The task of leading FCR presented a distinct challenge for me. I had to simultaneously balance the informational needs of family members with the educational needs of my trainees. I struggled with facilitating effective learning at the bedside while managing an interdisciplinary medical team that still focused on patient-centered care. Is FCR at odds with bedside teaching? Is teaching my students about our patient’s murmur truly family centered? How would a family or patient benefit from that? Or if I were to talk about my approach to a patient with hyponatremia with the family and patient present is that really centered around the family’s needs? Additionally, although I had always used questions to stimulate reflection and learning in clinical settings, I wondered if I needed to alter the way I taugh...
Source: Academic Medicine Blog - Category: Universities & Medical Training Authors: Tags: Featured Guest Perspective effective teaching behaviors family members and nurses family-centered rounds interdisciplinary teams patient centered care Source Type: blogs