What are big wheels?

Since the end of the 18th century, large rounds have been the basis of medical education. Originally, the participants visited the beds of patients with interesting cases and discussed the diseases and treatment with leading clinical doctors of the day to spread new discoveries, advance in new treatment and promote good communication between doctors. When more people began to visit, large wheels could no longer be carried out in patients' rooms, and sessions in amphitheater and lectures are now more often performed. Large wheels have changed from patients oriented or case discussions to formal lectures. Modern large wheels focus on descriptions of new diseases or new features of diseases, various surgical complications or side effects, unusual or complex cases and alternative therapies.

usually lecturers who perform large wheels discuss topics that capture their interest. First they formulate a clinical question based on one or more patient presentation. They also check the research that has been published on this tÉma. Thirdly, critically evaluate existing evidence of its statistical significance and clinical significance. Finally, they show how the evidence can be applied to the patient's cases. In some large rounds, clinical doctors from several disciplines may present information from their diverse perspectives.

According to a survey of 300 United States in 2003, 96 percent of the large bike department carried out, the vast majority of the sessions consisting of clock lectures with minimal interaction at the end. On average, 83 people with the largest percent of postgraduate doctors and full -time faculties participated in sessions. Most hospital departments, about 72 percent of respondents, develop individual educational objectives for their programs, with 73 percent a year selecting new Based topics to assess needs. Only 17 percent of the department regularly evaluated the storage and request of participants to care for patients on information on whichthey apply to sessions.

In addition to teaching, other objectives of the large rounds of lifelong learning, promotion of the collegial spirit between doctors and opportunities for continuing credits of medical education (CME). State medical councils, hospitals and special advice require doctors to receive a number of lessons for a year to maintain their licenses, privileges and certification. Regular meeting among doctors supports a multidisciplinary approach to clinical problems and provides an easy method for distributing new information to a wide range of people. Pharmaceutical companies often sponsor many large rounds and bring guest speakers from other regions.