Segovis Colin M, Mueller Paul S, Rethlefsen Melissa L, LaRusso Nicholas F, Litin Scott C, Tefferi Ayalew, Habermann Thomas M
Division of General Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.
BMC Med Educ. 2007 Jul 12;7:22. doi: 10.1186/1472-6920-7-22.
Evidence suggests that attendance at medical grand rounds at academic medical centers is waning. The present study examined whether attendance at medical grand rounds increased after providing complimentary food to attendees and also assessed attendee attitudes about complimentary food.
In this prospective, before-and-after study, attendance at medical grand rounds was monitored from September 25, 2002, to June 2, 2004, using head counts. With unrestricted industry (eg, pharmaceutical) financial support, complimentary food was provided to medical grand rounds attendees beginning June 4, 2003. Attendance was compared during the pre-complimentary food and complimentary food periods. Attitudes about the complimentary food were assessed with use of a survey administered to attendees at the conclusion of the study period.
The mean (+/- SD) overall attendance by head counts increased 38.4% from 184.1 +/- 90.4 during the pre-complimentary food period to 254.8 +/- 60.5 during the complimentary food period (P < .001). At the end of the study period, 70.1% of the attendee survey respondents indicated that they were more likely to attend grand rounds because of complimentary food, 53.6% indicated that their attendance increased as a result of complimentary food, and 53.1% indicated that their attendance would decrease if complimentary food was no longer provided. Notably, 80.3% indicated that food was not a distraction, and 81.7% disagreed that industry representatives had influence over medical grand rounds because of their financial support for the food.
Providing free food may be an effective strategy for increasing attendance at medical grand rounds.
有证据表明,在学术医疗中心参加医学大查房的人数正在减少。本研究调查了向参会者提供免费食物后,医学大查房的参会人数是否增加,同时也评估了参会者对免费食物的态度。
在这项前瞻性前后对照研究中,于2002年9月25日至2004年6月2日通过点人头的方式监测医学大查房的参会人数。在不受限制的行业(如制药行业)资金支持下,从2003年6月4日开始向医学大查房的参会者提供免费食物。比较了提供免费食物前和提供免费食物期间的参会人数。在研究期结束时,通过对参会者进行调查来评估他们对免费食物的态度。
通过点人头统计,平均(±标准差)总参会人数从提供免费食物前的184.1±90.4增加到提供免费食物期间的254.8±60.5,增幅为38.4%(P<.001)。在研究期结束时,70.1%的参会者调查受访者表示,由于有免费食物,他们更有可能参加大查房;53.6%的人表示,免费食物使他们的参会次数增加;53.1%的人表示,如果不再提供免费食物,他们的参会次数将会减少。值得注意的是,80.3%的人表示食物不会分散注意力,81.7%的人不同意行业代表因对食物的资金支持而对医学大查房有影响。
提供免费食物可能是增加医学大查房参会人数的有效策略。