No substitute for experience: do consultants that have been practising for longer lead faster post-take medical ward rounds?

No substitute for experience: do consultants that have been practising for longer lead faster post-take medical ward rounds?

Abstract

Aim: To ascertain whether consultants that have been practising for longer lead faster post-take medical ward rounds.

Method: Single-centre observational study of nine consultant physicians at morning post-take medical ward rounds at a district general hospital in the North West of London.

Results: Data were gathered from 25 post-take medical ward rounds. Multivariate regression analysis revealed that less time is spent per patient when consultants have been practising for longer (p<0.01), or have spent more time on the specialist register (p<0.01), with no discernible relation to the outcomes for the patients seen. This time is further reduced when a greater number of patients are seen on the ward round.

Conclusion: More experienced consultant physicians conduct faster post-take medical ward rounds.

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References

  1. Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med 2005; 142(4):
    260–73.
  2. Norman GR, Eva KW. Does clinical experience make up for failure to keep up to date? Evid Based Med 2005; 10: 66–8.
  3. Eva KW. The aging physician: changes in cognitive processing and their impact on medical practice. Acad Med 2002; 77(10) suppl:S1–S6.
  4. Herring R, Desai T, Caldwell G. Quality and safety at the point of care: how long should a ward round take? Clinical Medicine 2011; 11(1): 20–2.
  5. General Medical Council. List of Registered Medical Practioners. http://www.gmc-uk.org/doctors/register/LRMP.asp (accessed 16 July 2012).
  6. Lambourne A, Percival F, Ward D, et al. An Evaluation of Consultant Input into Acute Medical Admissions Management in England. Royal College of Physicians. 2012.
  7. Allen SW, Norman GR, Brooks LR. Experimental studies of learning dermatological diagnosis: the impact of examples. Teach Learn Med 1991; 4: 35–44.
  8. Hatala R, Norman GR, Brooks LR. Influence of a single example upon subsequent electrocardiogram interpretation. Teach Learn Med 1999; 11: 110–7.

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No substitute for experience: do consultants that have been practising for longer lead faster post-take medical ward rounds?

8th March 2016
PMID: 24098870
Authors Affiliations
Dipender Gill BMBCh Academic Foundation Year 2 Doctor Academic Foundation Year 2 Doctor Hammersmith Hospital, London
Robert Gaunt MA Research student, The Queen’s College, University of Oxford, Oxford
Shahir Hamdulay MBBS, MRCP, PhD Consultant in General Internal Medicine and Rheumatology Northwick Park Hospital, Watford Road, Harrow

No substitute for experience: do consultants that have been practising for longer lead faster post-take medical ward rounds?

Cite this article as:

Gill D, Gaunt R, Hamdulay S. No substitute for experience: do consultants that have been practising for longer lead faster post-take medical ward rounds? Acute Med. 2013;12(3):141-5. PMID: 24098870.

No substitute for experience: do consultants that have been practising for longer lead faster post-take medical ward rounds?

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