key: cord-0044389-69siubkz
authors: Rogers, Amanda; Lynch, Kelly; Toth, Heather; Weisgerber, Michael
title: Patient and Family Centered (Tele)rounds: The use of video conferencing to maintain family and resident involvement in rounds
date: 2020-06-02
journal: Acad Pediatr
DOI: 10.1016/j.acap.2020.05.026
sha: 7c4e93d0fe875e331100e2acb1e7954785057f32
doc_id: 44389
cord_uid: 69siubkz

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Problem: Patient and Family Centered Rounds (PFCR) is an invaluable element of the care of a hospitalized child that has been shown to improve patient outcomes and trainee education. 1,2 The

Covid-19 pandemic has led to social distancing requirements and personal protective equipment (PPE) shortages that caused many institutions to modify rounds. Initial modifications within our institution included a movement away from bedside PFCR and toward table rounds with asynchronous discussions. There was a concern these modifications excluded patients/families and decreased resident involvement in clinical management/communication which could negatively impact patient care and resident education. There was therefore a need to identify ways to maintain core PFCR principles within the Covid-19 limitations. Modifications made based on feedback included ensuring teams were comfortable using technology, utilizing headphones to overcome difficulty hearing when wearing PPE helmets, and scripting that informed families about PFCT.

Next Steps/Planned Curricular Adaptations: Next steps include additional assessments of PFCT including comparing the educational effectiveness and length of PFCT to in-person PFCR.

We are also identifying ways PFCT could be utilized in the post Covid era including involving off-site team members and families that are not able to physically join rounds.

Patient-and Family-Centered Care and the Pediatrician's Role

Rounds Today: A Qualitative Study of Internal Medicine and Pediatrics Resident Perceptions