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Article
Interprofessional bedside rounding improves quality of feedback to resident physicians
Medical teacher
  • Lesley B Gordon, aTufts University School of Medicine, Boston, MA, USA.
  • Melissa Zelaya-Floyd, Department of Medical Education, Maine Medical Center, Portland, ME, USA.
  • Patricia White, Department of Medical Education, Maine Medical Center, Portland, ME, USA.
  • Sarah Hallen, Tufts University School of Medicine, Boston, MA, USA.
  • Kalli Varaklis, Maine Medical Center
  • Motahareh Tavakolikashi, Department of Medical Education, Maine Medical Center, Portland, ME, USA.
Document Type
Article
Publication Date
4-2-2022
Abstract

PURPOSE: Obtaining high quality feedback in residency education is challenging, in part due to limited opportunities for faculty observation of authentic clinical work. This study reviewed the impact of interprofessional bedside rounds ('iPACE™') on the length and quality of faculty narrative evaluations of residents as compared to usual inpatient teaching rounds. METHODS: Narrative comments from faculty evaluations of Internal Medicine (IM) residents both on usual teaching service as well as the iPACE™ service (spanning 2017-2020) were reviewed and coded using a deductive content analysis approach. RESULTS: Six hundred ninety-two narrative evaluations by 63 attendings of 103 residents were included. Evaluations of iPACE™ residents were significantly longer than those of residents on usual teams (109 69 words,  < 0.001). iPACE™ evaluations contained a higher average occurrence of direct observations of patient/family interactions (0.72 0.32,  < 0.001), references to interprofessionalism (0.17 0.05,  < 0.001), as well as specific (3.21 2.26,  < 0.001), actionable (1.01 0.69,  < 0.001), and corrective feedback (1.2 0.88,  = 0.001) per evaluation. CONCLUSIONS: This study suggests that the iPACE™ model, which prioritizes interprofessional bedside rounds, had a positive impact on the quantity and quality of feedback, as measured via narrative comments on weekly evaluations.

Citation Information
Gordon LB, Zelaya-Floyd M, White P, Hallen S, Varaklis K, Tavakolikashi M. Interprofessional bedside rounding improves quality of feedback to resident physicians [published online ahead of print, 2022 Apr 2]. Med Teach. 2022;1-7. doi:10.1080/0142159X.2022.2049735