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This tutorial focuses on patient-centered rounds in internal medicine residency at the University of Cincinnati. It emphasizes engaging patients and team members, determining crucial information for bedside presentations, and being flexible with bedside rounds. The vignette presented highlights a patient with severe epigastric pain radiating to the back, rated 10/10 sharp with nausea and bloody emesis. The patient's medical history includes pancreatitis, hypertension, PVD, and COPD, and current medications include Foreman with unknown dosages. The team is encouraged to identify problems and opportunities for improvement in patient care.