Every morning at 0730, the on-call ACS team meets with the new on-call team in the surgical admitting area—Trauma Observation Unit (TOU)—for what has come to be known as "pass-on" rounds. All of the ACS consultations and admissions from the previous 24-hour period are reviewed and critiqued by both Acute Care Surgery teams. Patients requiring further observation or work-up are "passed on" to the new team and become its responsibility. Patients are directly examined and work-up studies are reviewed. A clear care plan is generated. Mandatory attendance by faculty contributes to overall patient care and resident learning.
Medical students and their education comprise an integral aspect of these rounds. Time is set aside at the end of the pass-on rounds to review radiological studies (a modern digital film and CT scan system is in place) and patient presentation in a little more detail. Because of the large patient volume, a diverse collection of films are generated on a daily basis. This provides a good educational resource for students and residents.