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February 1986

Morning Report

Author Affiliations

Birmingham, Ala

Arch Intern Med. 1986;146(2):408. doi:10.1001/archinte.1986.00360140260038

To the Editor.  —Early in the 1985-1986 academic year, the morning report format at Cooper Green Hospital (a county hospital affiliate of the University of Alabama at Birmingham Internal Medicine Residency Program) was reviewed. Morning report had been a highly variable experience depending on the attending physician placed in charge but had generally been an audit of the previous day's admissions. In designing a new conference, many of the ideas of Pupa and Carpenter1 were applied.Given the outpatient clinic responsibilities of the bulk of the attending staff, the Chief Medical Resident was put in charge as discussion leader. During the ensuing four months, he developed a style with the following emphases: (1) preconference selection of one or two cases to facilitate the direction of an appropriately prepared discussion; (2) participation of house staff in the discussion by Socratic questioning, with special attention not to embarrass any individual; (3) supply