title: Does Self-Assessment Improve the Effectiveness of Grand Rounds Lectures in a Community-Based Teaching Hospital?
abstract: OBJECTIVE
  To determine whether use of self-assessment (SA) questions affects the effectiveness of weekly didactic grand rounds presentations.
  
  
  METHODS
  From 26 consecutive grand rounds presentations from August 2013 to April 2014, a 52-question multiple-choice test was administered based on 2 questions from each presentation.
  
  
  METHODS
  Community teaching institution.
  
  
  METHODS
  General surgery residents, students, and attending physicians.
  
  
  RESULTS
  The test was administered to 66 participants. The mean score was 41.8%. There was no difference in test score based on experience with similar scores for junior residents, senior residents, and attending surgeons (43%, 46%, and 44%; p = 0.13). Most participants felt they would be most interested in presentations directly related to their surgical specialty. Participants, however, did not score differently on topics which were the focus of the program (40% vs. 42%; p = 0.85). Journal club presentations (39% vs. others 42%; p = 0.33) also did not affect the score. The Pearson correlation coefficient for attendance was 0.49 (p < 0.0001) demonstrated that attendance was very important. Participation in the weekly SA was significantly associated with improved score as those who participated in SA scored over 20% higher than those who did not (59% vs. 38%; p < 0.0001). Based on multiple linear regression for mean score, SA explained the variation in score more than attendance.
  
  
  CONCLUSIONS
  The current study found that without preparation approximately 40% of material presented is retained after 10 months. Participation in weekly SA significantly improved retention of information from grand rounds presentations.
authors.affiliation: Department of Surgery, Maricopa Medical Center, Phoenix, Arizona.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Winton
authors.affiliation: Department of Surgery, Maricopa Medical Center, Phoenix, Arizona.
authors.forename: Elizabeth M N
authors.initials: EMN
authors.lastname: Ferguson
authors.affiliation: Arizona Cancer Center, University of Arizona, Tucson, Arizona; Mel and Enid Zuckerman Arizona College of Public Health, Tucson, Arizona.
authors.forename: Chiu-Hsieh
authors.initials: CH
authors.lastname: Hsu
authors.affiliation: Department of Surgery, Maricopa Medical Center, Phoenix, Arizona.
authors.forename: Neal
authors.initials: N
authors.lastname: Agee
authors.affiliation: Department of Surgery, Maricopa Medical Center, Phoenix, Arizona.
authors.forename: Ryan D
authors.initials: RD
authors.lastname: Eubanks
authors.affiliation: Department of Surgery, Maricopa Medical Center, Phoenix, Arizona.
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: O'Neill
authors.affiliation: Department of Surgery, Maricopa Medical Center, Phoenix, Arizona.
authors.forename: Ross F
authors.initials: RF
authors.lastname: Goldberg
authors.affiliation: Department of Surgery, Maricopa Medical Center, Phoenix, Arizona.
authors.forename: Tammy R
authors.initials: TR
authors.lastname: Kopelman
authors.affiliation: Moores UCSD Cancer Center, San Diego, California.
authors.forename: Jesse N
authors.initials: JN
authors.lastname: Nodora
authors.affiliation: Department of Surgery, Maricopa Medical Center, Phoenix, Arizona.
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Caruso
authors.affiliation: Department of Surgery, Maricopa Medical Center, Phoenix, Arizona; Arizona Cancer Center, University of Arizona, Tucson, Arizona. Electronic address: Komenaka@hotmail.com.
authors.forename: Ian K
authors.initials: IK
authors.lastname: Komenaka
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D013502:General Surgery / Q000193:education*; D006764:Hospitals, Community; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data; D008297:Male; D008505:Medical Staff, Hospital / Q000706:statistics & numerical data; D018794:Problem-Based Learning; D015397:Program Evaluation; D012647:Self-Assessment; D013337:Students, Medical / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013663:Teaching; D056164:Teaching Rounds / Q000458:organization & administration*
keywords: Medical Knowledge; Patient Care; Practice-Based Learning and Improvement; Professionalism; Systems-Based Practice; effectiveness; evaluation; grand rounds; learning; surgery; teaching