Grand Rounds is a time-honored tradition in medical education. The ritual traces its roots to the late 19th century as a weekly forum led by residents, devoted to a detailed discussion of a clinical topic selected from among the diagnoses being cared for in the hospital setting. Grand Rounds often included a patient, brought in to demonstrate an unusual physical finding or to answer questions posed by senior members of the faculty, dressed in their white coats, looking down from on high in an amphitheater.
Over more than a century, Grand Rounds has evolved a great deal. Sandal et. al.[i] reference a 2006 New York Times article complaining that “Socratic dialogue (has given way) to PowerPoint Presentation” and “grand rounds are not so grand any more.” The typical list of complaints includes speakers who are poorly prepared or whose primary motivation is to market themselves as consultants; poor attendance, tardy attendance and late starts; problems with traffic and parking; bad food, lack of food, etc.
Our department has conducted its own Grand Rounds for over three decades, and we’ve seen our own changes over the years. Jeremy Golding works diligently behind the scenes, directing the selection of topics and speakers by members of our community to assure that the content reflects our interests, not those of the speaker. He asks speakers to prepare talks to address the needs of the practicing family physician, and CME credit is offered through the AAFP. The topics aren’t limited to inpatient care, there’s no esoterica. While we still host it in a hospital amphitheater, the attire is much more relaxed, and the room is sparsely populated, as the majority of today’s participants attend remotely. In all, there are more participants than we used to have: a formal meeting over lunch has become a brown bag affair that includes residency graduates tuning in from their practices across the country. While we have contemplated abandoning the amphitheater for a studio, for the moment we are still wedded to the tradition of broadcasting from a hospital setting, where a number of our residents can still be found every Tuesday at noon.
I hope you’ll rejoin us on May 2.
 Sandal, S., Ianuzzi, M, Knohl, S Can We Make Grand Rounds Grand Again? J Grad Med Educ. 2013 Dec; 5(4): 560–56
Want to live longer, better, and have more energy? There is no pill or surgery that produces this as well as eating fruits and vegetables. The best medical data tells us 7 vegetables (but not starchy ones like potatoes or rice) and 3-4 fruits per day. Every day.
Think of yesterday; how many servings (a serving is about a handful) of vegetables and fruits did you eat? 5? 3? NONE? Getting to 10 requires making a MINDFUL decision to do so. Try packing carrot chips and mini cucumbers for lunch. Plan a mixed salad and 2 other vegetables with dinner. STOP the rice (even brown rice), potatoes and pasta (even whole wheat pasta) except as a treat (bread too!).
The Monday Memo is a weekly communication of announcements, activities and accomplishments from Dr. Dan Lasser, Chair of the U Mass Department of Family Medicine and Community Health. To submit an item to appear in the Monday Memo, please send it via e-mail to Alan.Chuman or fax it to 774-443-8680.