ArticleBMC medical education2016
Medical ward round competence in internal medicine - an interview study towards an interprofessional development of an Entrustable Professional Activity (EPA).
Article in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Novice nurses' experience with an 'Attending Rounds' clinical case mentoring model: a phenomenological study.BMJ open · 2025Article
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- Experiences of medical students and faculty regarding the use of long case as a formative assessment method at a tertiary care teaching hospital in a low resource setting: a qualitative study.BMC medical education · 2024Article
- Development of the entrustable professional activity 'medication reconciliation' for clinical pharmacy.BMC medical education · 2024Article
- Article
- Qualitative study of the learning and studying process of resident physicians in China.BMC medical education · 2022Article
- A quality improvement project assessing a new mode of lecture delivery to improve postgraduate clinical exposure time in the Department of Internal Medicine, Makerere University, Uganda.BMJ open quality · 2022Article
- Simulated ward round training in the medical curriculum Munich.GMS journal for medical education · 2021Article
- The impact of pre-round meetings on quality of care: A qualitative study.Nursing open · 2020Article
- Ward round competences in surgery and psychiatry - a comparative multidisciplinary interview study.BMC medical education · 2019Article
- How case representations of medical students change during case processing - Results of a qualitative study.GMS journal for medical education · 2018Article
- Heidelberger Interprofessionelle Ausbildungsstation (HIPSTA): a practice- and theory-guided approach to development and implementation of Germany's first interprofessional training ward.GMS journal for medical education · 2018Article
- Ward rounds in internal medicine: Validation of an Entrustable Professional Activity (EPA) observation checklist.GMS journal for medical educationArticle
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6 authors.
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Abstract
backgroundThe medical ward round is a central but complex activity that is of relevance from the first day of work. However, difficulties for young doctors have been reported. Instruction of ward round competence in medical curricula is hampered by the lack of a standardized description of the procedure. This paper aims to identify and describe physicians' tasks and relevant competences for conducting a medical ward round on the first day of professional work.
methodsA review of recent literature revealed known important aspects of medical ward rounds. These were used for the development of a semi-structured interview schedule. Medical ward round experts working at different hospitals were interviewed. The sample consisted of 14 ward physicians (M = 8.82 years of work experience) and 12 nurses (M = 14.55 years of work experience) working in different specializations of internal medicine. All interviews were audiotaped, fully transcribed, and analyzed using an inductive-deductive coding scheme.
resultsNine fields of competences with 18 related sub-competences and 62 observable tasks were identified as relevant for conducting a medical ward round. Over 70 % of the experts named communication, collaborative clinical reasoning and organization as essential competences. Deeper analysis further unveiled the importance of self-management, management of difficult situations, error management and teamwork.
conclusionThe study is the first to picture ward round competences and related tasks in detail and to define an EPA "Conducting an internal medicine ward round" based on systematic interprofessional expert interviews. It thus provides a basis for integration of ward round competences in the medical curricula in an evidence based manner and gives a framework for the development of instructional intervention studies and comparative studies in other medical fields.
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