These platforms create barriers for learners through restricted access, payment, and lack of visibility and content on many of these platforms can be outdated. Many online options for CME exist, such as webinars like those produced by the Veterans Affairs (VA) Geriatrics Research Education and Clinical Centers, board reviews like those from Icahn School of Medicine at Mount Sinai and Oakstone, and YouTube videos. Even using this technology, many busy clinicians are still unable to attend at the specified time for an uninterrupted hour. 2 Our experience with videoconferencing technology was that it has limited functionality, it is labor intensive, and connections are frequently dropped. To alleviate these issues, videoconferencing was used to disseminate Grand Rounds from academic centers to community-based affiliates as early as 1963. The Grand Rounds format for CME is infrequently available to community-based clinicians, and even in academic centers, increasing demands on clinicians' time can lead to low attendance. In our institution, Geriatrics Grand Rounds sessions are given by interprofessional local experts in selected topics, such as: driving evaluation, music and memory, dementia care, wound care, sepsis in older adults, fall prevention, and appropriate prescribing. 1 The Grand Rounds format provides a regular platform to teach geriatric medicine to practicing clinicians-many of whom do not have a geriatrics background.
Grand Rounds are a medical education tradition dating back to Sir William Osler in the 19th century, and these conferences persist in academic medical institutions as a primary modality for continuing medical education (CME).
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