PT - JOURNAL ARTICLE AU - P. J. McLeod AU - P. Gold TI - Medical grand rounds: alive and well and living in Canada DP - 1990 May 15 TA - Canadian Medical Association Journal PG - 1053--1056 VI - 142 IP - 10 4099 - http://www.cmaj.ca/content/142/10/1053.short 4100 - http://www.cmaj.ca/content/142/10/1053.full SO - CMAJ1990 May 15; 142 AB - Grand rounds have long been the principal educational activity of departments of medicine at teaching hospitals. Several recent articles have suggested that there has been a general deterioration in the quality of grand rounds. To evaluate their status in Canada we mailed a questionnaire to the chairmen of the departments of medicine at the 53 Canadian teaching hospitals; of the 48 responses received (91%), 38 were from chairmen, 5 were from senior department members, and 5 were from chief residents. The results indicated that grand rounds continued to be the principal teaching exercise of the departments. Of the respondents 98% felt that the quality had improved or stayed the same. The overall attendance was considered to have improved or remained unchanged for the past decade by 75%; 25% thought that it had declined. The diminished emphasis on patient-related topics concerned 10%. The respondents gave numerous suggestions, which should help organizers to improve the impact of grand rounds on learning.