PedsCrit
Round Fast, Round Well with Dr. Michelle Kittleson
Oct 16, 2023
Dr. Michelle Kittleson, an expert in heart failure and transplant, shares insights on running efficient rounds in the pediatric ICU. She discusses her journey in becoming interested in heart failure, her experiences in research, and her passion for cardiology. The podcast covers topics such as fellowship programs, mentorship, open access medical education, efficiency and preparation in rounds, and providing feedback in medical training. Dr. Kittleson emphasizes the importance of concise communication, minimizing time spent during rounds, and delivering timely and specific feedback. She also mentions her book 'Mastering the Art of Patient Care'.
45:31
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Quick takeaways
- Dr. Kittleson emphasizes outstanding patient care, efficiency, and education as primary goals during rounds, believing that focusing on these aspects allows for effective learning.
- Dr. Kittleson promotes healthy disagreements and encourages trainees to have opinions and engage in respectful debates, using the Captain-Waiter-Toddler framework to facilitate constructive discussions and enhance clinical judgment.
Deep dives
Setting goals for efficient rounds
During rounds, Dr. Kittleson emphasizes three goals: outstanding patient care, efficiency, and education. She believes that focusing on exceptional patient care and efficiency allows for effective learning. Dr. Kittleson encourages concise one-liners with plans organized by systems to save time and keep the focus on patient care. She also emphasizes the importance of using every moment wisely and avoiding interruptions unless there is a fundamental misunderstanding or patient safety issue.
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