A morning round at a tertiary government hospital in India is allocated about 90 minutes, on paper. The unit has 28 in-patients, give or take, depending on the previous night's admissions.

That is 3.2 minutes per patient if every minute counts. It doesn't.

Of the 90 minutes:

12–15 minutes for the senior to assemble the team and walk to the ward
8–10 minutes for shift handover (the night resident still finishing)
4–6 minutes spent in transit between bed groups
3–5 minutes for the nurse to flag urgent issues
2–3 minutes for trainees to find a chart that has been moved

Net time per patient: 1.8–2.2 minutes. Less than a single sentence per bed, on average.

What gets done in 1.8 minutes per patient on a ward round, by the resident who carries the list for the day, is approximately this:

Look at the bed number on the list
Verify the patient is the patient on the list
Glance at the vitals chart
Ask the patient one direct question
Listen to one answer
Note one change

That is it. There is no room in 1.8 minutes for chart review, lab review, drug history, or any kind of considered reasoning. The reasoning is deferred to outside the round — either before, in the resident's pre-round review, or after, when the resident is alone with the chart at the nurses' station.

The "real" work of the ward round is not the round itself. It is the preparation that makes the round possible. A bad pre-round means a bad round. A good pre-round means the resident already knows which beds need 30 seconds and which need eight minutes.

The tool implication: the surface that holds the patient list and the recent vitals and the current orders is the pre-round tool, not the round tool. If a workspace makes the pre-round faster — by surfacing the patients whose state has changed since yesterday — the entire round is better.

Medows opens the ward list with the changed-since-yesterday patients sorted to the top by default. That is the most important affordance in the app. Not the AI consult. Not the handover. The ordering of the list.