Reviewing your performance after the heat of battle is almost always helpful. Residents should review their films with a critical eye. Areas that need to be evaluated as you look at your films include (rank 1 worst to 5 best):
1. Demeanor: 1 hesitant, timid to 5 confident, enthusiastic, positive
2. Voice: 1 soft, muffled to 5 loud and clear
3. Organization: 1 rambling to 5 well organized following the communication protocols
4. Content: 1 left out many details to 3 had too many unnecessary details to 5 just right
5. Evidence of understanding: 1 little or no understanding (poor knowlege base) to 5 deep understanding (excellent knowledge base)
6. Problem solving: 1 unable to come up with clear plans to 5 outstanding, innovative plans
Ideal Gatorounds – Notice that the attending introduces the entire team. The patient as well as all members of the team actively participate in discussing the management plan for the day. The final conversation consists of a teach-back to assure that the patient truly understands the management plan. Remember when the patient leaves the hospital he/she and/or a family member will be managing all medications and therapies. If they don’t fully understand the management plan the patient is likely to end up back in the hospital.
An example of excellent team participation that exemplifying horizontal communication. The subintern presents (28/30 presentation score), followed by the case manager, the team resident, the bedside nurse, the charge nurse, and finally the team resident. Major changes in management took place. All in less than 2.5 minutes.
Medical students can also learn to present efficiently. This is a 3rd year student in his 2nd week of Gatorounds.