The Morning Report Practice and Its Contribution to Education of Internal Medicine Residents: A Multicenter Cross-Sectional Survey in the Eastern Province, Saudi Arabia

Figures & data

Table 1 Demographics Morning Report Setup and Format

Respondents/Total, N (%)	172/314(54.7%)
Age (years), Mean±SD	28±1.98
Gender*	N (%)
Male	84(48.8%)
Female	88(51.2%)
Training year^#	N (%)
First year (R1)	44(25.6%)
Second Year (R2)	50(29.1%)
Third year (R3)	43(25%)
Fourth year (R4)	35(20.3%)
Frequency of the morning report	N (%)
5 Times (weekdays only)	147(85.5%)
4 Times	17(9.9%)
3 Times or less	4(2.3%)
Daily (including weekend)	1(0.6%)
No Morning Report	1(0.6%)
Other: None (1), Daily except Friday (1),	2(1.2%)
Overall MR practice	171(99.4%)
Duration of the morning report	N (%)
45–60 minutes	81(47.1%)
30−45 minutes	54(31.4%)
15 to 30 minutes	28(16.3%)
More than 60 minutes	6(3.5%)
Other: Depends on number of case (1), No meeting (1)	2(1.2%)
Less than 15 minutes	1(0.6%)
The usual morning report format	N (%)
Handover + emergency long case presentation and discussion	96(55.8%)
Emergency long case presentation only	58(33.7%)
Inpatient long case presentation only and discussion	28(16.3%)
Handover + inpatient long presentation and discussion	27(15.7%)
Exam preparation (MCQS, OSCE etc.)	23(13.4%)
Handover only	9(5.2%)
Long and short cases presentation and discussion	3(1.7%)
Other: Lecture (2), Daily Endorsement plus twice a week case presentation (1)	3(1.7%)
Journal club on some days	91(52.9%)
The usual morning report moderator (facilitator)	N (%)
Consultant	137(79.7%)
Senior resident	15(8.7%)
Junior resident	13(7.6%)
Not consistent	5(2.9%)
Other: No moderator (1), No meeting (1)	2(1.2%)

Note: *P=0.133, ^#P=0.449.

Table 2 Reasons for Attending/Not Attending Morning Report Regularly

A. Reasons for Attending	N (%)	B. Reasons for Not Attending	N (%)
Mandatory attendance	94(54.7%)	Embarrassing questions	96(55.8%)
Case discussion	79(45.9%)	Facilitator (Moderator)	75(43.6%)
Educational benefit	72(41.9%)	Busy with patient	44(25.6%)
Facilitator (Moderator)	47(27.3%)	No educational benefit	40(23.3%)
Other: To know cases(1), We are all interested in learning (1)	2(1.2%)	Other: Having to be exactly on time (1), Poor attendance (1), Lack of structure and plan for educational goals (1), Very early before 7:30 Am (1), Unprofessional discussion (1)	5(2.9%)

Figure 1 Residents’ motivation for involvement in the morning report.

Figure 2 Perceived contribution of the morning report to residents’ role development, overall education, and performance in the exam.

Figure 3 Perceived impact of the morning report on practice of evidence based medicine and quality improvement and patient safety.