One of the fundamental hallmarks of starting residency is learning how to round. You have to gather LOTS of information and you have to do it fast/systematically. Here are a few of the tips that I learned about how to pre-round as an intern when you are carrying 9-12 patients! It can be very helpful to have a specific framework!
It may sound silly, but it is definitely an important skill and one that is definitely never taught all that well, so I figured I'd make a video on it. If done well, pre-rounding can save LOTS of time and also help you better understand your patients. It can also be a great way for you to learn how to make effective plans for your patients.
Pre-rounding, fittingly, is one step before rounding! Rounding is also commonly referred to as "rounds." Rounds are when the medical team visits each inpatient as a group to review the patient's status and care plan. Sharing your observations and asking questions during rounds can provide: Valuable information exchange that can affect treatment and care planning. Rounds are a way to share important information about a patient's medical condition with the members of the healthcare team who are responsible for the patient's care. During rounds, we examine the patient's medical problems, treatment plan and response to treatments. We incorporate the expertise of the many different healthcare professionals and specialists in rounds to ensure every patient can get appropriate care!
At most places, pre-rounding: "consists of checking vital signs, checking lab work, and doing a directed physical exam on the patients that you are following. Allow 15 minutes of pre-rounding time per patient. You are expected to “be the expert” on your own patients." (source: medicine.yale.edu/intmed/educ...)
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