Introduction Ward rounds offer a wide range of training opportunities. The common criticism is that ward rounds are now business oriented and the teaching element of ward rounds has been squeezed out due to service pressures. Assessment drives learning, hence by developing an assessment tool structured feedback and reflection is facilitated.

Objective To develop a 360° assessment tool to assess performance of specialist registrars in ward rounds.

Methods A panel comprising senior paediatric consultants and nurse managers were interviewed. From analysis of interview transcripts, 10 key themes emerged. A structured questionnaire based on the key themes was designed and sent electronically to paediatric consultants, nurses and trainees. The tool used a six point scale ranging from 1 (not important) to 6 (very important) and participants were asked to rate how important they felt each of the theme was in relation to ward rounds.

Result 81 consultants, nurses and trainees responded to the survey. The internal consistency of this tool using Cronbach's α is 0.954.

Factor analysis shows that five factors were responsible for 72% of variance. The five factors are

1. teaching and enthusiasm on the ward round

2. being approachable, being calm and well organised and prioritising well

3. Being well prepared and knowing the patients thoroughly

4. Being punctual, starting on time and communicating well

5. Keeping the team informed.

Conclusion Communication emerged as the key theme. This assessment tool will enhance learning during ward rounds by providing structured multisource feedback specific for the task. A pilot study of this assessment tool will be undertaken.