Gachoud D, Monti M, Waeber G, Bonvin R
Unité pédagogique, Service de médecine interne, CHUV, 1011 Lausanne.
Rev Med Suisse. 2013 Oct 30;9(404):2013-6.
Every day, hospital doctors spend time at conducting ward rounds. Rounds are a core clinical activity during which doctors interact with patients, synthetise a whole set of informations and make many decisions. In addition, rounds can become a crucial teaching moment, when a trainee gets supervised by an attending physician. However, litterature on the topic of rounds is scarce. This paper summarizes the results of the few key studies focusing on ward rounds. The results are presented in four sections, each one being dedicated to one of the round stakeholders: the trainee or resident, the trainer, the patient and the nurse. An emphasis is put on ward rounds involving both a trainee and a trainer, since such rounds always mean striking a balance between care and teaching.
医院医生每天都要花时间进行查房。查房是一项核心临床活动,在此期间医生与患者互动,综合一系列信息并做出许多决策。此外,查房还可以成为一个关键的教学时刻,实习医生在此接受主治医师的指导。然而,关于查房主题的文献很少。本文总结了少数几项关注查房的关键研究结果。结果分为四个部分,每个部分专门针对查房的一个利益相关者:实习医生或住院医生、带教老师、患者和护士。重点放在有实习医生和带教老师参与的查房上,因为这样的查房总是意味着要在护理和教学之间取得平衡。