We were delighted to read the recent article by Gross et al1 regarding resident preferences for morning report. We recently changed the format of our morning report and would like to share our experiences.
Our residents traditionally had a one-case style morning report, in which the presentation and management of an "interesting" patient (not necessarily the most recently admitted) were reviewed. We found that this format not only restricted the number of cases that were discussed, but also gave a false impression that only patients with rare diseases are interesting.2 In addition, since the presentations of the history and physical examination were lengthy and detailed (as was the format for attending rounds), our residents' skills at being concise were not further developed.
Nekhlyudov L, Thomas PG, D'Amico S, Clayton SA. Evidence-Based Medicine: Resident Preferences for Morning Report. Arch Intern Med. 2000;160(4):552-553. doi: