Grand Round.
Lately I have been seeing a drastic change in the grand round culture of the university. Earlier when the giants of surgery were here the grand rounds were a completely different phenomenon. They were tools for discussing all the out of ordinary or non-routine cases followed in the previous week. After brief patient presentations there were discussions over the treatment modalities and the management plans of such patients. Senior doctors used to grill their juniors for different management options and their approach towards such patients. In this way residents and students learned in a manner such that their basic drills were revised and new techniques and avenues of thought added.
Now its a completely different story in the grand rounds. The conducting doctors are not at all as good as those before them. Neither do they realize the true purpose of the grand rounds in surgery. They only use them to show off their powers and personal expertise. Patients as humans never appears to be their concern. Rather grand rounds have become discussion in thin air. All the theories that have been written in the books for thousands of years are just blurted out there and the seniors are just happy over that. They are happy because in this way their authority is not challenged. They are happy because in this way they don't have to be the contributory part in the show. If this practice continues for long I must warn all those who are concerned that the standard of teaching will fall further down (as if it is not on the rock bottom already).
Lately I have been seeing a drastic change in the grand round culture of the university. Earlier when the giants of surgery were here the grand rounds were a completely different phenomenon. They were tools for discussing all the out of ordinary or non-routine cases followed in the previous week. After brief patient presentations there were discussions over the treatment modalities and the management plans of such patients. Senior doctors used to grill their juniors for different management options and their approach towards such patients. In this way residents and students learned in a manner such that their basic drills were revised and new techniques and avenues of thought added.
Now its a completely different story in the grand rounds. The conducting doctors are not at all as good as those before them. Neither do they realize the true purpose of the grand rounds in surgery. They only use them to show off their powers and personal expertise. Patients as humans never appears to be their concern. Rather grand rounds have become discussion in thin air. All the theories that have been written in the books for thousands of years are just blurted out there and the seniors are just happy over that. They are happy because in this way their authority is not challenged. They are happy because in this way they don't have to be the contributory part in the show. If this practice continues for long I must warn all those who are concerned that the standard of teaching will fall further down (as if it is not on the rock bottom already).
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