Mekasha Amha (MSc)Whitehead Cynthia(Dr)Paradis Elise(Dr)Tadesse Amezene2020-06-242023-11-062020-06-242023-11-062019-02http://etd.aau.edu.et/handle/123456789/21835Background: The term ‘‘morning report’’ is used to describe case-based conferences where residents, attending physicians, and others meet to present and discuss clinical cases. Morning report (MR) session is one way of delivering clinical teaching. It is case based approach, designed to teach residents and medical students from the actual patients managed in a hospital. The primary goal of the morning session is improving and monitoring the patient care given by the faculty. The objective of the study is to assess the perception of general surgery residents, faculty and the medical director about morning report sessions and look for their suggestion on areas of improvement in TASH, the main teaching hospital of Ethiopia. Methodology: This study was conducted using qualitative research methodologies and thematic analysis. Focus group discussion was conducted with the residents. Semi-structured Interviews were done with selected instructors and the medical director of the hospital. Purposeful sampling of third and fourth year general surgery residents was used to recruit study participants. Selected faculty members were interviewed using a convenience sampling technique. The Medical Director of Tikur Anbessa Specialized Hospital (TASH) was also interviewed. Results: The FGD and interviews were transcribed and translated by the principal investigator.Three major themes emerged from the study. These are: 1) Importance of MR; 2) Challenges encountered and 3) Areas for improvement. Its role in teaching and learning and impact in quality of patient care were mentioned as an importance of MR. The main challenges were poor attendance, unfavorable environment, inadequate scientific discussion, failure to address logistical and administrative issues and time inconsistency. Participants also suggested three major areas for improvement. These included using resident as a moderator, digitalizing presentations, and restructuring the sessions, subspecialty unit level MR, sharing responsibility amongst the different levels of trainees, and enforcing stricter timing and duration of MR. Conclusion: MR is a vital teaching and service activity of the department. It has a role in the development of varied components of teaching and learning in the residency program including learning from cases, assessment of resident’s performance, acquiring leadership skills and enriching the communication and presentation skills of a resident. Despite all the mentioned advantages, MR is not without challenges. Poor attendance especially by faculty, inappropriate feedback, and time inconsistency are major drawbacks. The majority of the participants have suggested valuable areas of improvement to benefit maximum from MR.en-USMorning Report Session; Program Evaluation; Focus Group; Interviews; Surgical residentsThesis