Dedicated Shift Wrap-up Time Does Not Improve Resident Sign-out Volume or Efficiency.

Objectives: Sign-out (SO) is a challenge to the emergency physician. Some training programs have instituted overlapping 9-hour shifts. The residents see patients for eight hours, and have one hour of wrap-up time.

Resident productivity as a function of emergency department volume, shift time of day, and cumulative time in the emergency department.

Objectives: We sought to determine if resident productivity changed based on emergency department (ED) volume, shift time of day, or over time during a shift.

Methods: This is a retrospective review of patients evaluated in the ED by emergency medicine residents. Data were collected using the computerized tracker that provides time of physician assignment and daily volume.