Evidence map›Paper›PMID 37085853›Full record

ArticleBMC medical education2023

Perception versus reality: analysis of time spent on bedside rounds in an academic ICU (Intensive Care Unit).

Haroon Ahmed, Austin B King, Nada Mohamed, Erica Mokaya, Kyle Chapman, Rachel Leonard

Abstract read
In one paragraph

Article in BMC medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Haroon AhmedWest Virginia University Health Sciences Center, Morgantown, WV, USA. Haroon.Ahmed@hsc.wvu.edu.ORCID http://orcid.org/0000-0002-2217-4349
Austin B KingWest Virginia University Health Sciences Center, Morgantown, WV, USA.
Nada MohamedWest Virginia University Health Sciences Center, Morgantown, WV, USA.
Erica MokayaWest Virginia University Health Sciences Center, Morgantown, WV, USA.
Kyle ChapmanWest Virginia University Health Sciences Center, Morgantown, WV, USA.
Rachel LeonardWest Virginia University Health Sciences Center, Morgantown, WV, USA.ORCID http://orcid.org/0000-0003-3521-5311

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite its importance, teaching at the bedside is declining over time. This purported decline has not been quantified. Quantifying bedside teaching is challenging, and we found only one study quantifying bedside teaching on a hospitalist service.

objectiveWe conducted a study to understand the prevalence of bedside teaching in our medical intensive care unit.

methodsWe conducted a single-center single-unit study in the medical intensive care unit of an academic tertiary care institution. We used a survey tool to assess perceived time spent on bedside teaching, quality of teaching, and total rounding time. In parallel, independent observers objectively measured time spent on rounds and on bedside teaching. Residents were asked to complete the survey once a week. Independent observers collected data daily and weekly averages were obtained.

results43 responses were collected over a 4-month period. Most respondents (73%) reported a total rounding time of either 90-120 min or greater than 120 min. Median reported bedside teaching time was 16-20 min with 16 respondents (37%) reporting less than 15 min and 27 respondents (63%) reporting 16 min or more. The amount of time spent on bedside teaching was reported as adequate or more than adequate by 77% (33) of respondents with 58% (25) reporting that bedside teaching was very or extremely effective in helping them learn. Mean census reported by the independent observers was 12.75 patients per team. Bedside teaching represented an average of 12% of total rounding time, 16.85 min per day. While total rounding time increased with increasing census, there was no decline in bedside teaching time.

conclusionIt is reported that bedside teaching has decreased over time. Our study has demonstrated that bedside teaching occurs in our Medical ICU, and though it represents a minority of the time spent on rounds, residents still reported teaching in the ICU to be adequate.

Indexed as

Teaching RoundsHumansIntensive Care UnitsPerceptionTime FactorsBedside teachingGraduate Medical EducationICU bedside teachingMedical Education

Identifiers

PMID37085853
PMCPMC10120486

What OpenQuestion holds

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Registered trials

None linked

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.