Pediatric morning report: an appraisal.
We examined and contrasted morning reports at two hospitals, university and community, that have a pediatric residency program. Patient diagnoses assigned at morning report were compared with final diagnoses to assess disease categories discussed and the value of including outpatient follow-up in this educational forum. Data were obtained during morning reports for 6 months by chief residents at university and private community hospitals. Pertinent history, physical examination, and laboratory and radiologic findings were recorded and were assigned a tentative morning report diagnosis based on morning report discussion. Cases were then reviewed at discharge and at 6 months to determine final diagnoses. At the university hospital, 58% of the cases were undiagnosed before presentation at morning report. Of those cases, 23% were assigned a diagnosis at morning report that differed from the final diagnosis. Similarly, at the private community hospital, 28% of cases were undiagnosed before presentation at morning report. Of those cases, 73% were assigned a diagnosis that differed from the final diagnosis. We conclude that the provision of follow-up at morning report is important for maximizing resident education.
Barton
L L
LL
Department of Pediatrics, University of Arizona, Tucson, USA.
Rice
S A
SA
Wells
S J
SJ
Friedman
A D
AD
D002648:Child; D002675:Child, Preschool; D003933:Diagnosis; D005260:Female; D006748:Hospital Departments; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D007396:Internship and Residency; D008297:Male; D008499:Medical Records; D010372:Pediatrics / Q000193:education