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Pediatric Morning Report: An Appraisal

Department of Pediatrics and Steele Memorial Children's Research Center, The University of Arizona, Tucson, AZ; Pediatrics/3403, 1501 North Campbell Ave., P0 Box 245073, Tucson, AZ 85724-5073

Sydney A. Rice, MD

Susan J. Wells, MD

Department of Pediatrics and Steele Memorial Children's Research Center, The University of Arizona, Tucson, AZ

Allan D. Friedman, MD, MPH

Department of Pediatrics, Henry Ford Health System, Detroit, and St. Joseph Mercy Hospital, Pontiac, MI

We examined and contrasted morning reports at two hospitals, university and community, that have a pediatric residency program. Patient diagnoses assigned at morning report were compared with final diagnoses to assess disease categories discussed and the value of including outpatient follow-up in this educational forum. Data were obtained during morning reports for 6 months by chief residents at university and private community hospitals. Pertinent history, physical examination, and laboratory and radiologic findings were recorded and were assigned a tentative morning report diagnosis based on morning report discussion. Cases were then reviewed at discharge and at 6 months to determine final diagnoses. At the university hospital, 58% of the cases were undiagnosed before presentation at morning report. Of those cases, 23% were assigned a diagnosis at morning report that differed from the final diagnosis. Similarly, at the private community hospital, 28% of cases were undiagnosed before presentation at morning report. Of those cases, 73% were assigned a diagnosis that differed from the final diagnosis. We conclude that the provision of follow-up at morning report is important for maximizing resident education.

Clinical Pediatrics, Vol. 36, No. 10, 581-583 (1997)
DOI: 10.1177/000992289703601005


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