The ‘grand round’ concept, generally associated with hospital based medical education, was adapted to support vertical integration in a continuing professional development (CPD) activity for general practice. Vertical integration in this context refers to encouraging all levels of general practice learners (general practitioners, general practice registrars and medical students) to participate in the activity. The GP grand round was modified from the traditional hospital based lecture model to a community based, small group, case oriented interactive learning activity.
The hospital ‘grand round’ concept was applied to a general practice
continuing professional development activity. Interactive learning
sessions were developed to deliver evidence based medicine clinical
education for general practitioners and general practice learners
(registrars/medical students). The acceptability of the GP grand round
format was examined through analysis of participant responses to
The article explores some of the issues associated with delivery of small
group case based discussion.
Evaluations demonstrated that participants in the grand round valued
the opportunity to interact with other participants in a small group
format, exchanged and shared knowledge and had their learning
needs met. The overall quality of the learning experience for the
majority of participants was either good or excellent. The application
of vertically integrated continuing professional development through a
grand round format appears acceptable and effective.
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