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PHARMD GURU Page 2  Participate in patient discharge planning. The Ward round participation also provides many learning opportunities for pharmacists. It allows pharmacists to see first-hand how drugs are used and prescribed and to see the effects of these drugs on patients. With time, pharmacists develop an appreciation of how the patient’s own wishes and their social, cultural and economic circumstances may influence therapeutic choices. Even for experienced clinical pharmacists in teaching hospitals, it is very rare to finish a ward round without gaining new perspectives on some aspect of therapeutics or patient care. For those involved in academia and research, ward rounds allow identification of cases for clinical teaching and publication. Not the least, ward round participation strengthens the inter-professional relationship among various health professionals, leading to better healthcare practice and research. CLASSIFICATION OF WARD ROUNDS Classification based on purpose of the round & composition of the healthcare team:  Pre rounds  Resident rounds  Chief rounds  Teaching rounds PRE-ROUNDS  Usually by interns (or) medical postgraduate students in teaching hospital.  Only few management decisions are made during these rounds.  Trainee clinical pharmacist may join the interns (or) post graduates in their pre rounds and complete the patient medication and clinical review at this time. RESTAURANT ROUNDS  In teaching hospitals, the registrar's and the residents, individually (or) as a team, conduct ward rounds. At least once a day at a fixed time, usually in the morning.
PHARMD GURU Page 3 CHIEF ROUNDS  In teaching hospitals, the chief unit, or the professor in a specialty conducts rounds together with other healthcare professionals.  Conducted for all patients under their care on a daily basis,  More challenging for clinical pharmacist in terms of their clinical knowledge. TEACHING ROUNDS  In teaching hospitals, academic medical staff conducts clinical teaching rounds for residents, medical post graduate students, Interns, medical UG students and Doctor of Pharmacy students.  It is usually extension rounds, and is conducted only a few times a week.  It provides an opportunity for clinical pharmacists to improve their clinical knowledge.

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