Trolley/board round
| Advantages | Disadvantages | |
|---|---|---|
| Patient factors | ▶ Focus on one patient at a time ▶ Opportunity to briefly observe the patient which may direct some aspect of minimal teachingat the trolley ▶ Fuller discussion without the patient present can expand more widely on differential diagnoses | ▶ Teaching in this environment takes time away from the need to complete the ‘business’ round |
| Environment | ▶ Disruptions and distractions more likely | |
| Confidentiality | ▶ Might be in vision or earshot of patients ▶ Less likely to talk about sensitive information | |
| Teaching | ▶ Leaning objectives/teaching plan can be made before the child is seen; a problem-based approach can be used ▶ All the information is usually available (notes, charts, etc.) ▶ Management can be taught on local guidelines or practices | ▶ Lack of continuity to those who admitted/know the child on different shifts |
| Team factors | ▶ Often can convolve nursing staff and medical students | ▶ Fragmented – not whole team |
| Innovations | ||
| ▶ Select patients for teaching beforehand | ||
| ▶ Difficult scenarios make for difficult learning | ||