title: Videoconferenced grand rounds: needs assessment for community specialists.
abstract: BACKGROUND
  Grand rounds are a traditional means of continuing education for specialist physicians. The purpose of this study was to determine the need for and feasibility of interactive videoconferenced grand rounds between an academic health center and community specialists practicing in the three provinces served by the health center.
  
  
  METHODS
  Using questionnaires, we studied two populations: the academic center's clinical department and division heads and community specialists in three provinces.
  
  
  RESULTS
  We received 27 of 34 (79%) questionnaires from department heads. Nine reported that they already videoconferenced their rounds, 12 expressed a willingness to do so, and 4 responded that they may be interested. Fourteen departments responded that they were willing to include community specialists in planning and presenting. Using a 5-point Likert scale (1 = strongly disagree, 5 = strongly agree), respondents rated the statement "Regional specialists would benefit from videoconferenced grand rounds" as 4.2. The return rate from community specialists was 333 of 876 (38%), of which 274 indicated that they would attend videoconferenced rounds, 42 said "maybe," and 9 said "no." Using the same 5-point scale, respondents rated both the following statements as 3.8: "Videoconferenced grand rounds would benefit me" and "These rounds would help me keep in touch with my colleagues." One hundred and two (31%) indicated that they would help plan rounds from the academic center.
  
  
  CONCLUSIONS
  This study demonstrated the willingness on the part of one academic center to videoconference grand rounds to community specialists and interest from community specialists in participating. It raises logistical and educational issues, including scheduling and how to effectively include community physicians in needs assessment and planning. As requirements for specialists to participate in accredited learning activities become more rigorous, videoconferencing grand rounds may be one way to increase access to important learning activities.
authors.affiliation: Program Development and Evaluation, Office of Continuing Medical Education, Dalhousie University, 5849 University Avenue, Halifax, NS B3H 4H7.
authors.forename: Joan
authors.initials: J
authors.lastname: Sargeant
authors.forename: Michael
authors.initials: M
authors.lastname: Allen
authors.forename: Brian
authors.initials: B
authors.lastname: O'Brien
authors.forename: Eileen
authors.initials: E
authors.lastname: MacDougall
mesh_terms: D000046:Academic Medical Centers; D003154:Community Medicine / Q000193:education*; D019058:Community Networks; D004502:Education, Medical, Continuing / Q000379:methods*; D006801:Humans; D020380:Needs Assessment; D009674:Nova Scotia; D011795:Surveys and Questionnaires; D013685:Telecommunications; D014741:Video Recording