Purpose of Rounds — The purpose of Rounds is to support caregivers and focus on their relationships with patients. The purpose of Rounds is not to "solve" or reach any definitive conclusions/answers about the issue discussed, but rather to share ideas, thoughts and feelings.
	Confidentiality — As always in a medical setting, caregivers must maintain confidentiality about the patient case. Equally important, facilitators must ensure that caregivers' comments be kept confidential and should express this at the beginning of every Rounds.
	Time constraints — Generally, panelists should limit their presentations to no more than three minutes each. This gives everyone in the room a chance to participate in the discussion. If panelists want to add additional information, they can do so as the discussion progresses.
	Speak up — Remind attendees to speak loudly enough so everyone in the room can hear them clearly. Ask them to stand and use microphones, if necessary.
	Beepers/cell phones — Ask everyone to put their beepers on vibrate mode and turn off their cell phones. In every session, facilitators should remind the audience not to use the phone right outside the conference room as it can be very distracting.

Responsibilities of the physician leader

	Act as the host
	Introduce the panel
	Call on audience
	Help focus the discussion
	Meet with the planning committee to discuss and select cases
	Read the pulse of the hospital for important issues
	Review summary of evaluations

Responsibilities of the facilitator

	Give reminders about confidentiality, beepers, cell phones and other business
	Call on audience
	Focus discussion, ask thought-provoking questions and make observations to stimulate discussion, as needed
	Keep to time limits. Politely interrupt participants if they are talking too long; warn when five minutes are left in the hour.
	Ask participants to speak up when necessary
	Offer a very brief closing summary
	Represent the Schwartz Center and make Center announcements

	"Perhaps we can hear some audience responses before hearing more from the panelists."
	"Can you summarize so we can have time to hear from everyone?"
	"Is there anyone else in the audience in addition to the panelists who has had a part in this patient's care?"
	"As you listen to this story, what would keep you awake at night as you think about it?"
	"What questions would you dwell on when driving home from work?"
	"What would you do differently?"
	"I understand what you did, could you talk more about how it made you feel?"
	"How did the involvement of your colleagues affect your work? Is there anything else you could have used from your colleagues?"
	"Our time to end is drawing near, is there anyone else who wants to contribute but hasn't yet had a chance?"
	"Are there any opposing/different reactions to what has been expressed so far?"