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We, the undersigned physicians, respectfully submit this petition to request the formal establishment of patient census caps during daily rounding to ensure high-quality, safe, and sustainable patient care.
Over recent months, many clinicians have experienced consistently elevated patient volumes during rounds, often exceeding levels that allow for thorough clinical assessment, effective communication, and timely documentation. While we remain deeply committed to patient care and organizational goals, current rounding expectations increasingly place physicians in situations that compromise:
Clinical decision-making quality
Patient safety and satisfaction
Teaching effectiveness (where applicable)
Physician well-being and retention
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Dear Colleagues,
We would like to share an update regarding the physician-led initiative to advocate for the establishment of patient census caps during daily rounding.
A petition is currently being circulated among attending physicians and advanced practice providers to formally request the development of defined, specialty-appropriate census limits during rounds. The goal of this effort is to support patient safety, quality of care, effective communication, and clinician sustainability, while remaining aligned with institutional operational priorities.
Excessively high and unpredictable rounding volumes have increasingly challenged our ability to provide the level of care our patients deserve. The proposed census caps would allow adequate time for clinical assessment, interdisciplinary coordination, documentation, and meaningful patient and family engagement.
Participation in the petition is voluntary. Those who wish to support the initiative may review and sign the petition and, if desired, add a brief professional comment reflecting their perspective.
Quality and Outcomes
“When rounding volumes exceed safe thresholds, important details are more likely to be missed, documentation becomes reactive, and discharge planning is delayed. Capped rounding would support better outcomes and smoother transitions of care.”
Sustainability and Retention
“High and unpredictable rounding volumes contribute significantly to burnout and moral distress. Implementing census caps would help create a more sustainable practice environment and improve physician retention.”
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