To identify the most common rounding practices within neurology in the United States and the barriers to bedside rounding in neurology.

The overall response rate of the neurology PD survey was 45%. When asked what percentage of time they round at the bedside, 62% PDs responded that they do most of their rounding at the bedside. On the other hand, 57% PDs estimated that the remaining teaching faculty at their institution spent most of their time rounding away from the bedside. When asked what the barriers are to bedside rounding, 48% of PDs responded that it is inefficient, not in line with time constraints and does not adequately incorporate the use of technology such as imaging. Furthermore, 36% answered that bedside rounds create an interruption to the workflow and that attending physicians and trainees have different expectations of bedside rounding.

Attending rounds have shifted away from the bedside. Within neurology, optimal rounding practices are unclear. By surveying neurology PDs, we have identified various barriers to bedside rounding within neurology.  With increasing focus on patient-centered care, efforts should be made to involve patients more in their care. At the same time, trainees and attending physicians express various concerns for bedside rounding that are equally important to address when planning morning rounds.