Medical Case Rounds: A Medium for Training and Studying Real-Life Decision Making

Case rounds are a prominent and important means of training in medical domains. As part of a field study of anesthesiologists’ problem solving activities, we audiotaped the discussion of 10 cases spreading over 4 case rounds. This paper describes the method used in data collection and analysis, followed by the major findings of the study. The study identified three types of skills transferred in case rounds: procedural knowledge, sensitivity to precursors of potential problems, and the ability to prepare for contingencies. The study also showed the potential of case rounds in studying cognitive activities in naturalistic settings.