ArticleClinical medicine (London, England)2009
The value of the post-take ward round: are new working patterns compromising junior doctor education?
Article in Clinical medicine (London, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed.
- Exploring reasoning mechanisms in ward rounds: a critical realist multiple case study.BMC health services research · 2018Article
- 'The time it takes…' How doctors spend their time admitting a patient during the acute medical take.Clinical medicine (London, England) · 2016Observational
- The Educational Value Of Post-Take Ward Rounds For Senior Trainees.The Ulster medical journal · 2016Article
- The educational value of ward rounds for junior trainees.Medical education online · 2015Article
- Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care.Clinical medicine (London, England) · 2014Article
- Training in general medicine - are juniors getting enough experience?Clinical medicine (London, England) · 2013Article
- The impact of twice-daily consultant ward rounds on the length of stay in two general medical wards--effect on training?Clinical medicine (London, England) · 2012Article
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9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This prospective observational study assessed the impact of the changes in junior doctors' working hours and waiting-time initiatives on teaching and learning opportunities for junior doctors in acute medicine. An audit cycle of post-take ward rounds including all medical admissions to an urban teaching hospital was conducted. During two seven-day periods in July 2006 and 2008, 317 and 354 patients were admitted respectively. In the two-year interval a number of changes were implemented resulting in a significant increase in patients reviewed by a consultant within 24 hours of admission. Target waiting times were being met but there were many missed learning opportunities for junior staff. Senior doctors continue to perform the majority of post-take reviews in the absence of the doctors who had admitted the patient. Similar patterns are likely to be found in other hospitals attempting to balance training with government targets for waiting times and junior doctors' working hours.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.