Original Publication
Open Access

Challenging Situations in Family-Centered Rounds: Making the Best out of Worst Case Scenarios

Published: March 12, 2014 | 10.15766/mep_2374-8265.9728

Included in this publication:

  • Instructor's Guide.doc
  • FCR Case Scenarios.docx
  • Facilitator Guide for FCR Case Scenarios.docx
  • Challenging Situations in Family Centered Rounds Slide.pptx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Introduction: Family-centered rounds (FCR) are one of the most common rounding practices for pediatric hospitalists. Benefits include improved communication with the family, improved multidisciplinary communication, and enhanced discharge planning and workflow. However, concerns about efficiency and teaching during FCR remain at issue. This workshop was developed to educate faculty, trainees, and multidisciplinary providers regarding patient care provision and potentially challenging situations that may arise during FCR in an interactive forum. Methods: This 2-hour interactive workshop begins with an introduction and a review of the agenda. Next, participants are asked to reflect on a real or hypothetical challenging situation during FCR or a question that they would like to have addressed. These are written down on index cards that are collected by a workshop facilitator. Participants then work in small groups of five to eight, choosing three cases to discuss from a set of 14 provided. Case scenarios include challenging situations relating to the discussion of sensitive topics, error correction, and how to teach in front of both parents and patients. Workshop facilitators guide the discussions. Small groups report back to the larger group on key points of their discussions, including concrete teachable moments. The workshop concludes with a moderated question-and-answer session with a multispecialty panel that shares experiences and strategies for addressing the unexpected during FCR. Results: This workshop was presented to a national audience of pediatric hospital medicine practitioners twice during the American Academy of Pediatrics 2012 Pediatric Hospital Medicine Conference. Discussion: Factors that helped make this workshop successful included the interest and engagement of the participants and the skills of the small-group facilitators in promoting collegial, open, safe discussion amongst a group of relative strangers. We were fortunate to have nurses, a subspecialist, an intensivist, a chief resident, and two hospitalists from programs across the country to participate in the panel discussion. Inclusion of different activities, such as writing, working through case examples, debriefing with the larger group, and participating in the panel discussion, helped keep participants engaged.


Educational Objectives

By the end of this workshop, learners will be able to:

  1. Discuss various challenges encountered during family-centered rounds (FCR).
  2. Identify opportunities to teach and role model communication skills for trainees during challenging situations.
  3. Generate strategies to help FCR run smoothly.

Author Information

  • Priti Bhansali, MD: Children's National Medical Center
  • Kerry Moss: Connecticut Children's Medical Center
  • Robert Kavanagh: Children's Hospital of Philadelphia
  • Christiane Corriveau: Children's National Medical Center
  • Jeffrey Simmons: Cincinnati Children's Hospital Medical Center
  • Geeta Singhal: Texas Children's Medical Center

Disclosures
None to report.

Funding/Support
None to report.



Citation

Bhansali P, Moss K, Kavanagh R, Corriveau C, Simmons J, Singhal G. Challenging situations in family-centered rounds: making the best out of worst case scenarios. MedEdPORTAL. 2014;10:9728. https://doi.org/10.15766/mep_2374-8265.9728