Grand rounds

This article is about medical education. For the parkway system in Minneapolis, see Grand Rounds Scenic Byway.

Grand rounds are an important teaching tool and ritual of medical education and inpatient care, consisting of presenting the medical problems and treatment of a particular patient to an audience consisting of doctors, residents and medical students. The patient was traditionally present for the round and would answer questions; grand rounds have evolved with most sessions now rarely having a patient present and being more like lectures. An actor portrays the patient in some instances.

Grand rounds help doctors and other healthcare professionals keep up to date in important evolving areas which may be outside of their core practice. Most departments at major teaching hospitals will have their own specialized, often weekly, Grand Rounds. Attending Grand Rounds is also an important supplement to medical school and on-the-job resident training. (Grand rounds can also be distinguished from rounds which is the (typically) daily visit by the attending physician and team to all that physician's patients on the ward. Rounding with an attending physician is an important part of medical on-the-job training and education, but its primary focus is immediate care for the patients on the ward. Grand rounds tends to present the bigger picture, including experience with patients over many years, and the newest research and treatments in an area. Grand rounds tend to be open to the entire medical professional community, whereas rounds are specific to individual attending physicians and their teams).

Recent innovation : Video Grand Round Archives

Many of the higher quality more innovative major teaching and research hospitals have started providing streaming video of their Grand rounds presentations for free over the internet. This is a wonderful opportunity for medical professionals and students to improve their knowledge, and builds on one of the core values of the Hippocratic Oath - that medical education should be provided for free, and that doctors should actively and openly share their knowledge without compensation in order to improve patient care.

Many of these organizations provide an archive of several years of recent Grand Rounds presentations and as such offer a tremendous resource for increasing medical knowledge and improving patient care.

Links to Free Grand Rounds Video Streaming Archives by Specialty

(If you find a working link to free Grand Rounds video streaming archives, please ADD them here.)

Internal Medicine (aka. Medical Grand Rounds)

Mayo Clinic http://www.mayoclinic.org/grand-rounds/

NYU http://medicine.med.nyu.edu/education/medicine-grand-rounds-video-archive

UNC http://medicine.med.unc.edu/whatsnew/grand-rounds-video

Neurology

UCSD Neurology/Neurosciences Grand Rounds http://neurosciences.ucsd.edu/2pagevid.php

OHSU Neurology Grand Rounds http://www.ohsu.edu/xd/education/schools/school-of-medicine/departments/clinical-departments/neurology/news/grand-rounds-video.cfm

University of Arizona HS Neuro Grand Rounds http://streaming.biocom.arizona.edu/categories/?id=11

Oncology

Yale Cancer Center http://medicine.yale.edu/cancer/research/education/grand-rounds/index.aspx

MSKCC : (Unfortunately, only a small subset of some Grand rounds presentations by cancer type as CME) (Hopefully they will provide a more complete archive)

Breast Cancer http://www.mskcc.org/education/cme/videos-healthcare-professionals?tid=1195

Colorectal Cancer http://www.mskcc.org/education/cme/videos-healthcare-professionals?tid=1194

Lung Cancer http://www.mskcc.org/education/cme/videos-healthcare-professionals?tid=1189

Melanoma http://www.mskcc.org/education/cme/videos-healthcare-professionals?tid=1187

Leukemia http://www.mskcc.org/education/cme/videos-healthcare-professionals?tid=1190

Lymphoma http://www.mskcc.org/education/cme/videos-healthcare-professionals?tid=1188

Gynecological Cancers http://www.mskcc.org/education/cme/videos-healthcare-profes sionals?tid=1192

Head and Neck Cancers http://www.mskcc.org/education/cme/videos-healthcare-professionals?tid=1191

Prostate/Renal/Urological http://www.mskcc.org/education/cme/videos-healthcare-professionals?tid=1186

Mass General - Palliative Care http://www.massgeneral.org/palliativecare/grandrounds/

Gastroenterology

DAVE Project http://daveproject.org/category/clinical-grand-rounds/

Space Medicine

U. Texas / Johnson Space Center (NASA) http://www.dsls.usra.edu/education/grandrounds/archive/2011/

External links

• Grand rounds webcast from Dartmouth-Hitchock
• Grand rounds definition in Medterms