Grand rounds are a methodology of

medical education Medical education is education related to the practice of being a medical practitioner, including the initial training to become a physician (i.e., medical school and internship (medical), internship) and additional training thereafter (e.g., Re ...

and inpatient care, consisting of presenting the medical problems and treatment of a particular patient to an audience consisting of doctors, pharmacists, residents, and medical students. It was first conceived by clinicians as a way for junior colleagues to round on patients. The patient was traditionally present for the round and would answer questions; grand rounds have evolved with most sessions rarely having a patient present and being more like lectures. An actor portrays the patient in some instances. Grand rounds help doctors and other healthcare professionals keep up to date in important evolving areas which may be outside of their core practice. Most departments at major teaching hospitals will have their own specialized, often weekly, grand rounds. Attending grand rounds is also an important supplement to

medical school A medical school is a tertiary educational institution, or part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, Bachelor of Surgery (MBBS, M ...

and on-the-job

resident Resident may refer to: People and functions * Resident minister, a representative of a government in a foreign country * Resident (medicine), a stage of postgraduate medical training * Resident (pharmacy), a stage of postgraduate pharmaceuti ...

training. Grand rounds can also be distinguished from rounds which is the (typically) daily visit by the

attending physician In the United States and Canada, an attending physician (also known as a staff physician or supervising physician) is a physician (usually an M.D. or D.O.) who has completed residency and practices medicine in a clinic or hospital, in the spec ...

and team to all that physician's patients on the ward. Rounding with an attending physician is an important part of medical on-the-job training and education, but its primary focus is immediate care for the patients on the ward. Grand rounds tends to present the bigger picture, including experience with patients over many years, and the newest research and treatments in an area. Grand rounds tend to be open to the entire medical professional community, whereas rounds are specific to individual attending physicians and their teams. A 1966 report in the Australian journal ''

Clinical Pediatrics ''Clinical Pediatrics'' is a peer-reviewed medical journal of pediatrics that was established in 1962. It is published monthly by SAGE Publications and edited by Brian S. Carter. Scope ''Clinical Pediatrics'' is a medical journal that seek ...

'' called into question the sometimes inconsiderate behavior of practitioners who treated patients who were featured cases of grand rounds.

Video archives

Many teaching and research hospitals have started providing

streaming video Video on demand (VOD) is a media distribution system that allows users to access videos without a traditional video playback device and the constraints of a typical static broadcasting schedule. In the 20th century, broadcasting in the form of o ...

of their grand rounds presentations for free over the Internet. This is an opportunity for medical professionals and students to improve their knowledge, and builds on one of the core values of the

Hippocratic Oath The Hippocratic Oath is an oath of ethics historically taken by physicians. It is one of the most widely known of Greek medical texts. In its original form, it requires a new physician to swear, by a number of healing gods, to uphold specific e ...

– that medical education should be provided for free, and that doctors should actively and openly share their knowledge without compensation in order to improve patient care. Many of these organizations provide an archive of several years of recent grand rounds presentations and as such offer a tremendous resource for increasing medical knowledge and improving patient care.

Footnotes

Citations

Works cited

*{{cite journal, last1=Stites, first1=Shana D., last2=Warholic, first2=Christina L., title=Multicultural Grand Rounds: Competency-Based Training Model for Clinical Psychology Graduate Students, journal=Psychology Learning & Teaching, date=2014, volume=13, issue=3, pages=261–269 , doi=10.2304/plat.2014.13.3.261 , citeseerx=10.1.1.1031.9151, s2cid=147487820

External links

Grand Rounds at Children's Health

Grand Rounds at Cincinnati Children's

Grand rounds webcast from Dartmouth-Hitchock

Grand Rounds at The College of Physicians of Philadelphia

Grand Rounds at Mayo Clinic

Grand Rounds at the New York University Medical School

Grand Rounds at the Seattle Children's Hospital

* ttp://www.uvm.edu/medicine/cme/?Page=grandrounds.html Grand Rounds at the University of Vermont School of Medicine
UW Medicine , Dept. of Medicine – Grand Rounds

Grand Rounds at Yale School of Medicine

Grand rounds definition in Medterms
Teaching hospitals Medical education