title: Attending rounds: What do the all-star teachers do?
abstract: OBJECTIVE
  To examine differences in the types of teaching activities performed during rounds between the most effective and least effective inpatient teaching attendings.
  
  
  METHODS
  Participants included 56 attending physicians supervising 279 trainees. Trained observers accompanied teams during rounds and recorded the frequencies of educational activities that occurred. Students and residents then rated their satisfaction with the teaching on rounds.
  
  
  RESULTS
  Attending physicians with the highest learner satisfaction scores performed significantly more teaching activities per patient than attending physicians who were rated as average or less-effective (2.1 vs. 1.4 vs. 1.5; p = .03). There were significant differences in the frequencies of 3 out of the 9 specific teaching activities observed, including answering specific patient-care related questions (77% vs. 66% vs. 47%; p = .003), teaching on learner chosen topics (8% vs. 2% vs. 2%; p = .02), and providing feedback (31% vs. 10% vs. 0.1%; p = .001).
  
  
  CONCLUSIONS
  Specific categories of teaching activities-patient-specific teaching, teaching on learner-identified topics, and providing real-time feedback-are performed more frequently by the highest-rated attending physicians, which can guide faculty development.
authors.affiliation: a University of Colorado School of Medicine , Aurora , CO , USA.
authors.forename: Frank W
authors.initials: FW
authors.lastname: Merritt
authors.affiliation: a University of Colorado School of Medicine , Aurora , CO , USA.
authors.forename: Melissa N
authors.initials: MN
authors.lastname: Noble
authors.affiliation: a University of Colorado School of Medicine , Aurora , CO , USA.|b Denver Veterans' Affairs Medical Center , Denver , CO , USA.
authors.forename: Allan V
authors.initials: AV
authors.lastname: Prochazka
authors.affiliation: a University of Colorado School of Medicine , Aurora , CO , USA.
authors.forename: Eva M
authors.initials: EM
authors.lastname: Aagaard
authors.affiliation: a University of Colorado School of Medicine , Aurora , CO , USA.
authors.forename: Chad R
authors.initials: CR
authors.lastname: Stickrath
mesh_terms: D001291:Attitude of Health Personnel; D001519:Behavior; D003430:Cross-Sectional Studies; D000068156:Formative Feedback; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007858:Learning; D008505:Medical Staff, Hospital / Q000592:standards*; D013663:Teaching / Q000592:standards*; D056164:Teaching Rounds / Q000458:organization & administration* / Q000592:standards