Challenging Situations in Family-Centered Rounds: Making the Best out of Worst Case Scenarios
Abstract Introduction Family-centered rounds (FCR) are one of the most common rounding practices for pediatric hospitalists. Benefits include improved communication with the family, improved multidisciplinary communication, and enhanced discharge planning and workflow. However, concerns about effici...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Book |
| Published: |
Association of American Medical Colleges,
2014-03-01T00:00:00Z.
|
| Subjects: | |
| Online Access: | Connect to this object online. |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Abstract Introduction Family-centered rounds (FCR) are one of the most common rounding practices for pediatric hospitalists. Benefits include improved communication with the family, improved multidisciplinary communication, and enhanced discharge planning and workflow. However, concerns about efficiency and teaching during FCR remain at issue. This workshop was developed to educate faculty, trainees, and multidisciplinary providers regarding patient care provision and potentially challenging situations that may arise during FCR in an interactive forum. Methods This 2-hour interactive workshop begins with an introduction and a review of the agenda. Next, participants are asked to reflect on a real or hypothetical challenging situation during FCR or a question that they would like to have addressed. These are written down on index cards that are collected by a workshop facilitator. Participants then work in small groups of five to eight, choosing three cases to discuss from a set of 14 provided. Case scenarios include challenging situations relating to the discussion of sensitive topics, error correction, and how to teach in front of both parents and patients. Workshop facilitators guide the discussions. Small groups report back to the larger group on key points of their discussions, including concrete teachable moments. The workshop concludes with a moderated question-and-answer session with a multispecialty panel that shares experiences and strategies for addressing the unexpected during FCR. Results This workshop was presented to a national audience of pediatric hospital medicine practitioners twice during the American Academy of Pediatrics 2012 Pediatric Hospital Medicine Conference. Discussion Factors that helped make this workshop successful included the interest and engagement of the participants and the skills of the small-group facilitators in promoting collegial, open, safe discussion amongst a group of relative strangers. We were fortunate to have nurses, a subspecialist, an intensivist, a chief resident, and two hospitalists from programs across the country to participate in the panel discussion. Inclusion of different activities, such as writing, working through case examples, debriefing with the larger group, and participating in the panel discussion, helped keep participants engaged. |
|---|---|
| Item Description: | 10.15766/mep_2374-8265.9728 2374-8265 |