A Resident-driven Initiative to Increase Bedside Teaching on Interdisciplinary Rounds

Andrew Becker, Olivia Frosch, Melissa Argraves, Bryn Carroll, Alicia Kamsheh, Polina Krass, Sanjiv Mehta, Elizabeth Salazar, April Taylor, Jessica Hart

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Introduction: Inpatient rounding serves numerous roles. The American Academy of Pediatrics recommends a family-centered bedside model. Residents identified physical examination teaching during and satisfaction with rounds as areas for improvement. A resident group developed a project utilizing quality improvement (QI) methodology to address these concerns. We aimed to increase the frequency of bedside physical examination teaching most or every day on a single inpatient unit by 20% over 1 year, with secondary goals to increase the percentage of interns spending one hour or more at bedside per day by 10% and intern satisfaction by 15%, without impacting rounding duration. Methods: We developed an organizational structure to complete a long-term resident-led project. Interventions included daily bedside examination teaching on rounds, afternoon examinations, goal communication, topic recording, and a teaching "tip sheet." Using an institutional QI framework, we utilized iterative plan-do-study-act cycles to implement interventions and surveys to assess outcomes, with rounding efficiency as a balancing measure. Results: The survey response rate was 57%. Bedside teaching frequency increased from a mean of 10% to 61%, perceived time at the bedside increased from 37% to 59%, and rounding satisfaction improved from a rating of 6.7/10 to 7.4/10. Efficiency was not impacted. Conclusions: We improved inpatient rounds bedside physical examination teaching and satisfaction without sacrificing efficiency. This project demonstrates the feasibility and success of a resident-driven education initiative to successfully motivate fellow residents and colleagues across disciplines to enact change. The organizational structure may serve as a model for resident-led QI projects across institutions.

Original languageEnglish
Pages (from-to)e408
JournalPediatric Quality and Safety
Issue number3
StatePublished - May 19 2021


Dive into the research topics of 'A Resident-driven Initiative to Increase Bedside Teaching on Interdisciplinary Rounds'. Together they form a unique fingerprint.

Cite this