Development Strategies in Medical Education

Objective: Grand Round is one of the methods of medical education in the hospital environment, which is conducted as a discussion on patients in the presence of a group of specialists and students of different medical departments. This study was conducted to review the history of medical grand rounds research in Iran in order to evaluate its efficiency, new methods, advantages and challenges.
Method: This study used a systematic review in accordance with PRISMA standards and evaluated the role of Grand Round in medical education. PubMed, EMBASE, Scopus, Web of Science databases as well as FarsiSID.ir, Elmentnet and Magiran databases were searched using specific terms. Two referees independently reviewed the articles based on the entry criteria and resolved the differences through discussion. Quality and bias were assessed using the MMAT tool. Thematic codes extracted from the responses guided the qualitative synthesis of evidence.
Results: In this study, 15 articles were examined. Medical students experience challenges in the quality of teaching grand rounds compared to faculty and residents, potentially influenced by gender differences or stages of medical education. Acknowledging these disparities is critical to effective educational strategies, especially in the Grand Round context. Adapting to challenges such as the COVID-19 pandemic, it is recommended that virtual group discussions be implemented to increase student satisfaction and knowledge transfer during Grand Rounds. Despite the strengths of bedside grand rounds, managing the lack of evidence-based issues and clinical decision-making is critical to increasing the overall quality of grand rounds.
Conclusion: The current review study showed that in order to increase the productivity of medical grand rounds, there is a need to plan to increase the interaction and involvement of all educational members and learners in a group; Also, to increase the quality of meetings, it is necessary to present discussions based on scientific evidence.