Assessment Of Morning Report Sessions Experience From Department Of Surgery Addis Ababa University

Background: The term ‘‘morning report’’ is used to describe case-based conferences wherernresidents, attending physicians, and others meet to present and discuss clinical cases. Morningrnreport (MR) session is one way of delivering clinical teaching. It is case based approach, designedrnto teach residents and medical students from the actual patients managed in a hospital. The primaryrngoal of the morning session is improving and monitoring the patient care given by the faculty. Thernobjective of the study is to assess the perception of general surgery residents, faculty and thernmedical director about morning report sessions and look for their suggestion on areas ofrnimprovement in TASH, the main teaching hospital of Ethiopia. rnMethodology: This study was conducted using qualitative research methodologies and thematicrnanalysis. Focus group discussion was conducted with the residents. Semi-structured Interviewsrnwere done with selected instructors and the medical director of the hospital. Purposeful samplingrnof third and fourth year general surgery residents was used to recruit study participants. Selectedrnfaculty members were interviewed using a convenience sampling technique. The Medical Directorrnof Tikur Anbessa Specialized Hospital (TASH) was also interviewed. rnResults: The FGD and interviews were transcribed and translated by the principal investigator.rnThree major themes emerged from the study. These are: 1) Importance of MR; 2) Challengesrnencountered and 3) Areas for improvement. Its role in teaching and learning and impact in qualityrnof patient care were mentioned as an importance of MR. The main challenges were poorrnattendance, unfavorable environment, inadequate scientific discussion, failure to address logisticalrnand administrative issues and time inconsistency. Participants also suggested three major areas forrnimprovement. These included using resident as a moderator, digitalizing presentations, andrnrestructuring the sessions, subspecialty unit level MR, sharing responsibility amongst the differentrnlevels of trainees, and enforcing stricter timing and duration of MR.rnConclusion: MR is a vital teaching and service activity of the department. It has a role in therndevelopment of varied components of teaching and learning in the residency program includingrnlearning from cases, assessment of resident’s performance, acquiring leadership skills andrnenriching the communication and presentation skills of a resident. Despite all the mentionedrnadvantages, MR is not without challenges. Poor attendance especially by faculty, inappropriaternfeedback, and time inconsistency are major drawbacks. The majority of the participants havernsuggested valuable areas of improvement to benefit maximum from MR.

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