document: Evaluation of videoconferenced grand rounds We evaluated various aspects of grand rounds videoconferenced from a tertiary care hospital to a regional hospital in Nova Scotia . During a five-month study period , 29 rounds were broadcast -LRB- 19 in medicine and 10 in cardiology -RRB- . The total recorded attendance at the remote site was 103 , comprising 70 specialists , nine family physicians and 24 other health-care professionals . We received 55 evaluations , a response rate of 53 % . On a five-point Likert scale -LRB- on which higher scores indicated better quality -RRB- , mean ratings by remote-site participants of the technical quality of the videoconference were 3.0-3 .5 , with the lowest ratings being for ability to hear the discussion -LRB- 3.0 -RRB- and to see visual aids -LRB- 3.1 -RRB- . Mean ratings for content , presentation , discussion and educational value were 3.8 or higher . Of the 49 physicians who presented the rounds , we received evaluations from 41 , a response rate of 84 % . The presenters rated all aspects of the videoconference and interaction with remote sites at 3.8 or lower . The lowest ratings were for ability to see the remote sites -LRB- 3.0 -RRB- and the usefulness of the discussion -LRB- 3.4 -RRB- . We received 278 evaluations from participants at the presenting site , an estimated response rate of about 55 % . The results indicated no adverse opinions of the effect of videoconferencing -LRB- mean scores 3.1-3 .3 -RRB- . The estimated costs of videoconferencing one grand round to one site and four sites were C$ 723 and C$ 1515 , respectively . The study confirmed that videoconferenced rounds can provide satisfactory continuing medical education to community specialists , which is an especially important consideration as maintenance of certification becomes mandatory
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