A PRIS network survey study of faculty physicians’ background and experiences with family-centered rounding

Abstract

ABSTRACT Introduction: The benefits of the Family-Centered Rounding (FCR) model are well established and the attending physician's role in FCR has been demonstrated to be important in its implementation. The purpose of this study is to evaluate the background, training, preparedness and perceived role of pediatric attending physicians with regards to FCR. Methods: An online survey was administered via the Pediatric Research in Inpatient Settings (PRIS) listserv. It included 25 multiple-choice questions regarding agreement and adherence with published FCR guidelines, training experiences and preparedness in leading FCR, frequency of discussing goals and specifics of FCR with new trainees, and perception of who leads FCR. Results: The response rate was 63% (76/120). All 76 respondents report being familiar with FCR. Ninety – seven percent (73/76) of respondent’s report using the FCR model when conducting inpatient rounds at least sometimes. Twenty percent (15/76) of respondent’s received formal training on the FCR model as a medical student, resident, or fellow. As an attending physician, 38% (29/76) of respondents received formal training on FCR. Most respondents report feeling prepared (30%, 23/76) or very prepared (58%, 44/76) to lead FCR. The attending physician (49%) and resident (76%) were most frequently perceived to be the leaders of FCR. Conclusions: This study provides information on areas that may be barriers to providing better care when using this rounding model. First, the leader of FCR is not agreed upon nor are their responsibilities well defined. Secondly, FCR training and education is inconsistent in its format and frequency of occurrence.