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Morning Report

Morning Report. Haleh Talaei MD, MPH Infectious Disease specialist Clinical toxicology fellow Associated professor of Shahid Beheshti University of Medical Sciences. Definition.

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Morning Report

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  1. Morning Report Haleh Talaei MD, MPH Infectious Disease specialist Clinical toxicology fellow Associated professor of Shahid Beheshti University of Medical Sciences

  2. Definition The term "morning report" is used to describe case-based conferences where residents, attending physicians, and others meet to present and discuss clinical cases. The term includes resident reports, morning or housestaff conferences, and morning sessions but excludes work rounds or teaching rounds. In a typical morning report, the team on duty during the night presents recently admitted patients, followed by a general discussion of the cases and related topics.

  3. Definition It’s one of the clinical teaching method that review the management of all of admitted patients in recent 24 hrs by diagnostic & treatment approach on evidence based.

  4. Four major areas for review • Purpose of morning report • Organization • Instructional methods • Educational outcomes • Each topic area is presented, followed by an overall discussion at the end.

  5. Various purposes of morning report • Education • Evaluation of residents and quality of services • Detection and reporting of adverse events • Non-medical issues • Social interaction.

  6. Educational goals • Case-based teaching • Reviewing and planning patient management • Fostering presentation skills • Highlighting the unique approach of the generalist physician • Developing intellectual curiosity and research • Promoting decision-making skills • Self-directed learning • Ethics

  7. Case-oriented teachingwas the most frequently cited educational purpose of morning reports.

  8. Evaluation of Residents and Quality of Services • Evaluation of residents' attitudes (84%), • Clinical skills (63%), • Quality of care (93%) • An effective means of case management (82%) • Although morning report was used to evaluate residents and quality of care, no structured instrument or rating scale to conduct such evaluations was reported.

  9. Detection and Reporting of Adverse Event • Morning report can be an effective means to detect and report adverse events such as drug reactions.

  10. Non-medical issues • The programs which addressed a variety of non-medical issues such as social, personal, ethical, political, and economic topics, as well as cost-effectiveness and administrative matters (85%)

  11. Social Interaction • Morning report provided an opportunity for residents and faculty to socialize • Food and drinks during morning report and conducted business in an informal atmosphere that fostered social interaction.

  12. POINTS • Morning Report as SMALL GROUP SESSIONS • How to RUN morning report despite the Attending? • Factors Influencing* Morning report case presentation • Common morning report in Unique groups

  13. Conclusion In summary, residency programs used morning report for multiple purposes, including education and a variety of other goals. Residents favor morning report as an educational activity. The relative importance of each purpose of morning report depends on individual programs and, in turn, may determine the way morning report will be organized and conducted.

  14. References • ZUBAIR AMIN, JESUS GUAJARDO, Morning Report Focus and Methods over the Past Three Decades, Academic Medicine (2000) 75: S1-S5 • Hill RF, Tyson EP, Riley HD Jr. The culture of morning report: ethnography of a clinical teaching conference. South Med J. 1997; 90: 594 -600 • D'Alessandro DM. Documenting the educational content of morning report. Arch Pediatr Adolesc Med. 1997; 151: 1151 -6 • Ramratnam B, Kelly G , Determinants of case selection at morning report J Gen Intern Med 1997 May;12(5):263-6 • D'Alessandro DM, Qian F. Do morning report format changes affect educational content? Med Educ 1999 Sep;33(9):648-54 • Demopoulos B, Pelzman F, Wenderoth S. Ambulatory morning report: an underutilized educational modality.Teach Learn Med 2001 Winter;13(1):49-52

  15. References • : Ways M, Kroenke K, Umali J, Buchwald D.Related Articles, Links • Morning report. A survey of resident attitudes.Arch Intern Med. 1995 Jul 10;155(13):1433-7.PMID: 7794093 [PubMed - indexed for MEDLINE] • 2: Gross CP, Donnelly GB, Reisman AB, Sepkowitz KA, Callahan MA.Related Articles, Links • Resident expectations of morning report: a multi-institutional study.Arch Intern Med. 1999 Sep 13;159(16):1910-4.PMID: 10493321 [PubMed - indexed for MEDLINE] • 3: Bing-You RG, Sproul MS.Related Articles, Links • Medical students' perceptions of themselves and residents as teachers.Med Teach. 1992;14(2-3):133-8.PMID: 1406122 [PubMed - indexed for MEDLINE] • 4: Yaman H, Ozen M.Related Articles, Links • Satisfaction with family medicine training in Turkey: survey of residents.Croat Med J. 2002 Feb;43(1):54-7.PMID: 11828561 [PubMed - indexed for MEDLINE] • 5: Kendrick SB, Simmons JM, Richards BF, Roberge LP.Related Articles, Links • Residents' perceptions of their teachers: facilitative behaviour and the learning value of rotations.Med Educ. 1993 Jan;27(1):55-61.PMID: 8433661 [PubMed - indexed for MEDLINE] • 6: White JA, Anderson P.Related Articles, Links • Learning by internal medicine residents: differences and similarities of perceptions by residents and faculty.J Gen Intern Med. 1995 Mar;10(3):126-32.PMID: 7769468 [PubMed - indexed for MEDLINE] • 7: Morrison EH, Hafler JP.Related Articles, Links • Yesterday a learner, today a teacher too: residents as teachers in 2000.Pediatrics. 2000 Jan;105(1 Pt 3):238-41.PMID: 10617729 [PubMed - indexed for MEDLINE]

  16. References • : Pelletier M, Belliveau P.Related Articles, Links • Role of surgical residents in undergraduate surgical education.Can J Surg. 1999 Dec;42(6):451-6.PMID: 10593247 [PubMed - indexed for MEDLINE] • 9: Bing-You RG, Tooker J.Related Articles, Links • Teaching skills improvement programmes in US internal medicine residencies.Med Educ. 1993 May;27(3):259-65.PMID: 8336577 [PubMed - indexed for MEDLINE] • 10: Glenn JK, Reid JC, Mahaffy J, Shurtleff H.Related Articles, Links • Teaching behaviors in the attending-resident interaction.J Fam Pract. 1984 Feb;18(2):297-304.PMID: 6699568 [PubMed - indexed for MEDLINE] • 11: Lawson BK, Harvill LM.Related Articles, Links • The evaluation of a training program for improving residents' teaching skills.J Med Educ. 1980 Dec;55(12):1000-5.PMID: 7452703 [PubMed - indexed for MEDLINE] • 12: Kroenke K, Simmons JO, Copley JB, Smith C.Related Articles, Links • Attending rounds: a survey of physician attitudes.J Gen Intern Med. 1990 May-Jun;5(3):229-33.PMID: 2341923 [PubMed - indexed for MEDLINE] • 13: Roberts KB, DeWitt TG, Goldberg RL, Scheiner AP.Related Articles, Links • A program to develop residents as teachers.Arch Pediatr Adolesc Med. 1994 Apr;148(4):405-10.

  17. THANKS&ANY QUESTION

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