The Appraisal of Surgical Grand Rounds in a University Teaching Hospital
Affiliation(s)
Department of Surgery, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.
Department of Surgery, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.
ABSTRACT
Grand rounds are traditional medical education tools in academic medical centers, but there has been little investigation to evaluate the advantages and usefulness of this ritual academic activity. We analyzed the utility and effectiveness of surgical grand rounds as a teaching modality in a university teaching hospital. All surgical grand rounds, from October 2010 to June 2012 (inclusive) conducted in the department of surgery, Sultan Qaboos University Hospital were analyzed. The evaluation was carried out by a multiple choice (single answer) type questionnaire. Each surgical grand round was assessed independently and attendees were asked to rate each indicator on a 5-point Likert-type scale. A total of 54 weekly surgical grand rounds were carried out, which included 74% local and 26% overseas speakers. The level of speakers varied from a senior faculty member to student and the themes and contents included subject reviews, updates, academic and personal experiences. The attendance and feedback were encouraging and majority of respondents’ disclosed “good” educational, professional and social gains from this educational activity. Surgical grand rounds have been a consistent educational activity of our department for education and teaching of undergraduates, house staff (registrars and postgraduates) and faculty from a university teaching hospital. The overall outcome has been satisfactory. We aim to continue this educational activity and perform regular appraisals to review its benefits and effectiveness for clinical educational.
Grand rounds are traditional medical education tools in academic medical centers, but there has been little investigation to evaluate the advantages and usefulness of this ritual academic activity. We analyzed the utility and effectiveness of surgical grand rounds as a teaching modality in a university teaching hospital. All surgical grand rounds, from October 2010 to June 2012 (inclusive) conducted in the department of surgery, Sultan Qaboos University Hospital were analyzed. The evaluation was carried out by a multiple choice (single answer) type questionnaire. Each surgical grand round was assessed independently and attendees were asked to rate each indicator on a 5-point Likert-type scale. A total of 54 weekly surgical grand rounds were carried out, which included 74% local and 26% overseas speakers. The level of speakers varied from a senior faculty member to student and the themes and contents included subject reviews, updates, academic and personal experiences. The attendance and feedback were encouraging and majority of respondents’ disclosed “good” educational, professional and social gains from this educational activity. Surgical grand rounds have been a consistent educational activity of our department for education and teaching of undergraduates, house staff (registrars and postgraduates) and faculty from a university teaching hospital. The overall outcome has been satisfactory. We aim to continue this educational activity and perform regular appraisals to review its benefits and effectiveness for clinical educational.
Cite this paper
Mandhan, P. , Al-Wahiabi, K. , Al-Harthy, A. and Al-Qadhi, H. (2014) The Appraisal of Surgical Grand Rounds in a University Teaching Hospital. Creative Education, 5, 1642-1647. doi: 10.4236/ce.2014.518181.
Mandhan, P. , Al-Wahiabi, K. , Al-Harthy, A. and Al-Qadhi, H. (2014) The Appraisal of Surgical Grand Rounds in a University Teaching Hospital. Creative Education, 5, 1642-1647. doi: 10.4236/ce.2014.518181.
References
[1] Agee, N., Komenaka, I. K., Drachman, D., Bouton, M. E., Caruso, D. M., & Foster, K. N. (2009). The Effectiveness of Grand Rounds Lectures in a Community-Based Teaching Hospital. Journal of Surgical Education, 66, 361-366.
http://dx.doi.org/10.1016/j.jsurg.2009.07.006 [2] Bageacu, S. (2009). Surgical Grand Rounds. Journal de Chirurgie, 146, 199-206.
http://dx.doi.org/10.1016/j.jchir.2009.05.021 [3] Bliss, M. (1999). William Osler at 150. Canadian Medical Association Journal, 161, 831-834. [4] Bogdonoff, M. D. (1982). A Brief Look at Medical Grand Rounds. The Pharos of Alpha Omega Alpha-Honor Medical Society, 45, 16-18. [5] Hebert, R. S., & Wright, S. M. (2003). Re-Examining the Value of Medical Grand Rounds. Academic Medicine, 78, 1248-1252.
http://dx.doi.org/10.1097/00001888-200312000-00013 [6] Lewkonia, R., Sosnowski, M., & Murray, F. (1996). Hospital Grand Rounds in Family Medicine. Content and Educational Structure. Canadian Family Physician, 42, 301-306. [7] Lewkonia, R. M., & Murray, F. R. (1995). Grand Rounds: A Paradox in Medical Education. Canadian Medical Association Journal, 152, 371-376. [8] McKusick, V. A. (1979). No Graying of Grand Rounds at Hopkins. The New England Journal of Medicine, 300, 440.
http://dx.doi.org/10.1056/NEJM197902223000823 [9] McLeod, P. J., & Gold, P. (1990). Medical Grand Rounds: Alive and Well and Living in Canada. Canadian Medical Association Journal, 142, 1053-1056. [10] Monkhouse, S. (2010). Learning in the Surgical Workplace: Necessity Not Luxury. The Clinical Teacher, 7, 167-170.
http://dx.doi.org/10.1111/j.1743-498X.2010.00359.x [11] Mueller, P. S., Litin, S. C., Sowden, M. L., Habermann, T. M., & LaRusso, N. F. (2003). Strategies for Improving Attendance at Medical Grand Rounds at an Academic Medical Center. Mayo Clinic Proceedings, 78, 549-553.
http://dx.doi.org/10.4065/78.5.549 [12] Mueller, P. S., Segovis, C. M., Litin, S. C., Habermann, T. M., & Parrino, T. A. (2006). Current Status of Medical Grand Rounds in Departments of Medicine at US Medical Schools. Mayo Clinic Proceedings, 81, 313-321.
http://dx.doi.org/10.4065/81.3.313 [13] Murray, E., Gruppen, L., Catton, P., Hays, R., & Woolliscroft, J. O. (2000). The Accountability of Clinical Education: Its Definition and Assessment. Medical Education, 34, 871-879.
http://dx.doi.org/10.1046/j.1365-2923.2000.00757.x [14] The Oman Medical Specialty Board (OMSB) (2014).
http://www.squ.edu.om/tabid/15580/language/en-US/Default.aspx [15] Parrino, T. A., & White, A. T. (1990). Grand Rounds Revisited: Results of a Survey of U.S. Departments of Medicine. American Journal of Medicine, 89, 491-495. [16] Richmond, D. E. (1985). The Educational Value of Grand Rounds. New Zealand Medical Journal, 98, 280-282. [17] Riley Jr., H. D. (1992). Grand Rounds Revisited: Some Comments on Current Practices. Southern Medical Journal, 85, 1001-1002. [18] Tarala, R., & Vickery, A. W. (2005). Hospital Grand Rounds in Australia. Medical Journal of Australia, 183, 592-594. [19] Van Hoof, T. J., Monson, R. J., Majdalany, G. T., Giannotti, T. E., & Meehan, T. P. (2009). A Case Study of Medical Grand Rounds: Are We Using Effective Methods? Academic Medicine, 84, 1144-1151.
http://dx.doi.org/10.1097/ACM.0b013e3181ad1c0e
[1] Agee, N., Komenaka, I. K., Drachman, D., Bouton, M. E., Caruso, D. M., & Foster, K. N. (2009). The Effectiveness of Grand Rounds Lectures in a Community-Based Teaching Hospital. Journal of Surgical Education, 66, 361-366.
http://dx.doi.org/10.1016/j.jsurg.2009.07.006 [2] Bageacu, S. (2009). Surgical Grand Rounds. Journal de Chirurgie, 146, 199-206.
http://dx.doi.org/10.1016/j.jchir.2009.05.021 [3] Bliss, M. (1999). William Osler at 150. Canadian Medical Association Journal, 161, 831-834. [4] Bogdonoff, M. D. (1982). A Brief Look at Medical Grand Rounds. The Pharos of Alpha Omega Alpha-Honor Medical Society, 45, 16-18. [5] Hebert, R. S., & Wright, S. M. (2003). Re-Examining the Value of Medical Grand Rounds. Academic Medicine, 78, 1248-1252.
http://dx.doi.org/10.1097/00001888-200312000-00013 [6] Lewkonia, R., Sosnowski, M., & Murray, F. (1996). Hospital Grand Rounds in Family Medicine. Content and Educational Structure. Canadian Family Physician, 42, 301-306. [7] Lewkonia, R. M., & Murray, F. R. (1995). Grand Rounds: A Paradox in Medical Education. Canadian Medical Association Journal, 152, 371-376. [8] McKusick, V. A. (1979). No Graying of Grand Rounds at Hopkins. The New England Journal of Medicine, 300, 440.
http://dx.doi.org/10.1056/NEJM197902223000823 [9] McLeod, P. J., & Gold, P. (1990). Medical Grand Rounds: Alive and Well and Living in Canada. Canadian Medical Association Journal, 142, 1053-1056. [10] Monkhouse, S. (2010). Learning in the Surgical Workplace: Necessity Not Luxury. The Clinical Teacher, 7, 167-170.
http://dx.doi.org/10.1111/j.1743-498X.2010.00359.x [11] Mueller, P. S., Litin, S. C., Sowden, M. L., Habermann, T. M., & LaRusso, N. F. (2003). Strategies for Improving Attendance at Medical Grand Rounds at an Academic Medical Center. Mayo Clinic Proceedings, 78, 549-553.
http://dx.doi.org/10.4065/78.5.549 [12] Mueller, P. S., Segovis, C. M., Litin, S. C., Habermann, T. M., & Parrino, T. A. (2006). Current Status of Medical Grand Rounds in Departments of Medicine at US Medical Schools. Mayo Clinic Proceedings, 81, 313-321.
http://dx.doi.org/10.4065/81.3.313 [13] Murray, E., Gruppen, L., Catton, P., Hays, R., & Woolliscroft, J. O. (2000). The Accountability of Clinical Education: Its Definition and Assessment. Medical Education, 34, 871-879.
http://dx.doi.org/10.1046/j.1365-2923.2000.00757.x [14] The Oman Medical Specialty Board (OMSB) (2014).
http://www.squ.edu.om/tabid/15580/language/en-US/Default.aspx [15] Parrino, T. A., & White, A. T. (1990). Grand Rounds Revisited: Results of a Survey of U.S. Departments of Medicine. American Journal of Medicine, 89, 491-495. [16] Richmond, D. E. (1985). The Educational Value of Grand Rounds. New Zealand Medical Journal, 98, 280-282. [17] Riley Jr., H. D. (1992). Grand Rounds Revisited: Some Comments on Current Practices. Southern Medical Journal, 85, 1001-1002. [18] Tarala, R., & Vickery, A. W. (2005). Hospital Grand Rounds in Australia. Medical Journal of Australia, 183, 592-594. [19] Van Hoof, T. J., Monson, R. J., Majdalany, G. T., Giannotti, T. E., & Meehan, T. P. (2009). A Case Study of Medical Grand Rounds: Are We Using Effective Methods? Academic Medicine, 84, 1144-1151.
http://dx.doi.org/10.1097/ACM.0b013e3181ad1c0e