Clifton C. Lee,Virginia Commonwealth University School of Medicine,Richmond,VA,Marieka Helou,Virginia Commonwealth University School of Medicine,Richmond,VA,Hadi Anwar,Children's Hospital of Richmond at VCU,Richmond,VA,Dawn M. Landschoot,Virginia Commonwealth University School of Medicine,Richmond,VA
Background: Studies show that family centered rounds (FCR) improve family satisfaction by involving the families in their children’s care (Pediatrics, 2003). Medical students consistently find FCR beneficial to families but have differing attitudes regarding benefits to the medical team. Some concerns raised by the students include longer rounds, decreased bedside teaching, and lack of opportunities to improve FCR skills. We developed a FCR simulation to aid medical students in FCR presentation.
Research Questions: Will FCR simulation improve medical student attitudes toward FCR? Will medical students’ perception of FCR change over the course of the clerkship?
Methods: On the first day of the clerkship, medical students presented a patient admission to two evaluators playing a parent and an attending physician. The patient admission note was emailed to the students prior to the simulation. Students were provided immediate feedback and asked to complete a survey. The survey asked if they thought FCR would benefit family, nurses, physicians, students, and efficiency of rounds. The students provided answers based on five point Likert scale. Finally, they completed a similar survey at the end of the clerkship.
Results: The vast majority (95%) of the students had never participated in FCR prior to the simulation. The simulation made students more comfortable presenting in FCR (average score 4.5/5). There were no significant differences in positive attitudes towards FCR to families, nursing, physician, and medical education in the pre and post clerkship surveys. Most (67%) students’ perception towards FCR changed positively by the end of the clerkship.
Discussion: Most of the medical students had never participated in FCR presentation prior to the start of the clerkship, and they found the simulation helpful in preparing for FCR. Although specific attitudes about the benefit of FCR to the family and medical team did not change likely due to ceiling effect, most of the students did have positive perception of FCR by the end of the clerkship.