Background: Patient care handoffs are a core professional activity that incoming interns are expected to perform without direct supervision upon starting residency, yet training in medical schools is inconsistent.
Objective: To implement a brief handoff communication workshop for incoming interns and determine whether learner-level determinants were associated with differences in training outcomes.
Methods: We conducted a one-hour interactive handoff skills workshop for all incoming interns at a Midwestern academic medical center. We performed paired pre/post-intervention assessments of participants' attitudes and ability to perform representative handoff skills. The results were analyzed in aggregate and based upon participants' prior handoff experiences using Wilcoxon signed-rank test.
Results: Ninety-nine of 108 interns (91.7%) completed both pre- and post-surveys. There was significant improvement in all 10 attitude-based questions ( ≤ 0.014 for all) and on the skills assessment (1.07 vs 2.16 on 0-4 point scale, SD 1.25, ≤ 0.001). Results remained significant regardless of prior training, number of handoffs observed, number of handoffs performed, medical school, or residency discipline.
Conclusion: A brief interactive workshop for incoming interns can improve participants' confidence and performance of basic handoff skills, regardless of previous training or experience.
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http://dx.doi.org/10.4137/JMECD.S28401 | DOI Listing |
Am J Med Open
June 2025
University of Illinois Chicago, Department of Gastroenterology and Hepatology, Chicago, IL, USA.
The burden of cirrhosis and chronic liver disease is growing, yet there is a projected worsening deficit in hepatology providers. As such, cirrhosis and liver disease have been important inclusions within the core curricula of Internal Medicine. Formal assessments of provider preparedness resulting from the curriculum are lacking though.
View Article and Find Full Text PDFCureus
October 2024
Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, USA.
Background: Compared to inpatient care transitions, end-of-year resident continuity clinic panel transitions affect a greater number of patients, yet warm handoffs occur less often.
Objective: We developed a program-wide curriculum to implement warm handoffs (defined as in-person or virtual via videoconference) for high-risk continuity clinic patients between graduating and incoming residents.
Methods: The warm handoff intervention was phased in at different clinic sites over the study period and ultimately implemented program-wide across nine affiliated continuity clinics.
MedEdPORTAL
July 2024
Assistant Professor, Division of General Internal Medicine, Department of Medicine, and Center for Medical Ethics and Health Policy, Baylor College of Medicine.
Introduction: There is increasing recognition that incoming interns benefit from formal training in teaching skills during UME. Many medical schools have capstone courses well suited for teacher-training content. Mini chalk talks (MCTs) are a common clinical teaching modality requiring a variety of teaching skills.
View Article and Find Full Text PDFBackground: Virtual interviewing for residency provides considerable savings. Its impact on match outcomes remains unclear.
Objective: Evaluate the impact of virtual residency recruitment on program and applicant assessment and match outcomes.
JAMA Netw Open
June 2024
University of Michigan Medical School, Ann Arbor.
Importance: The implications of new-onset depressive symptoms during residency, particularly for first-year physicians (ie, interns), on the long-term mental health of physicians are unknown.
Objective: To examine the association between and persistence of new-onset and long-term depressive symptoms among interns.
Design, Setting, And Participants: The ongoing Intern Health Study (IHS) is a prospective annual cohort study that assesses the mental health of incoming US-based resident physicians.
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