Chair's Rounds

摘要

For many training programs, a weekly Chair's Rounds is an opportunity for residents to present challenging cases to the Chief of Medicine with the hope of identifying new diagnostic and/or therapeutic insights for the management of a given patient. The quality of this free-form discussion (sometimes a “free-for-all”) generally reflects the depth of knowledge and experience of the Chair with the patient's clinical situation. However, recommendations and opinions may not reflect the best (or current) evidence for guiding real life decisions at hand. We revised the format of our Chair's Rounds 3 years ago to improve medical decision-making directed toward specific patients while simultaneously teaching principles of evidence-based medicine (EBM) (1).