Abstract:
BACKGROUND:Prior research on reducing variation in housestaff handoff procedures have depended on proprietary checkout software. Use of low-technology standardization techniques has not been widely studied. PURPOSE:We wished to determine if standardizing the process of intern sign-out using low-technology sign-out tools could reduce perception of errors and missing handoff data. METHODS:We conducted a pre-post prospective study of a cohort of 34 interns on a general internal medicine ward. Night interns coming off duty and day interns reassuming care were surveyed on their perception of erroneous sign-out data, mistakes made by the night intern overnight, and occurrences unanticipated by sign-out. Trainee satisfaction with the sign-out process was assessed with a 5-point Likert survey. RESULTS:There were 399 intern surveys performed 8 weeks before and 6 weeks after the introduction of a standardized sign-out form. The response rate was 95% for the night interns and 70% for the interns reassuming care in the morning. After the standardized form was introduced, night interns were significantly (p < .003) less likely to detect missing sign-out data including missing important diseases, contingency plans, or medications. Standardized sign-out did not significantly alter the frequency of dropped tasks or missed lab and X-ray data as perceived by the night intern. However, the day teams thought there were significantly less perceived errors on the part of the night intern (p = .001) after introduction of the standardized sign-out sheet. There was no difference in mean Likert scores of resident satisfaction with sign-out before and after the intervention. CONCLUSION:Standardized written sign-out sheets significantly improve the completeness and effectiveness of handoffs between night and day interns. Further research is needed to determine if these process improvements are related to better patient outcomes.
journal_name
Teach Learn Medjournal_title
Teaching and learning in medicineauthors
Salerno SM,Arnett MV,Domanski JPdoi
10.1080/10401330902791354subject
Has Abstractpub_date
2009-04-01 00:00:00pages
121-6issue
2eissn
1040-1334issn
1532-8015pii
909979899journal_volume
21pub_type
杂志文章abstract:BACKGROUND:Some medical schools have replaced all student practice peer physical examinations in the curriculum with examinations of standardized patients (SPs). PURPOSE:To assess attitudes of medical students toward practicing physical examinations with classmates, including genital, rectal, or female breast componen...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1704_5
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:Script concordance (SC) questions, in which a learner is given a brief clinical scenario then asked if additional information makes one hypothesis more or less likely, with answers compared to a panel of experts, are designed to reflect a learner's clinical reasoning. PURPOSE:The purpose is to compare relia...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2012.692239
更新日期:2012-01-01 00:00:00
abstract:PROBLEM:Multiple-choice questions (MCQs) are the main method of assessing medical student knowledge. As a result there is a high demand from medical students for formative MCQs. However, teaching staff rarely have the time or incentive to develop high-quality formative questions, focusing instead on material for high-s...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1011651
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Graduating medical students, when surveyed, noted a deficit in training in physical examination skills. PURPOSES:In an attempt to remedy this deficit we implemented a pilot program for 3rd-year medical students consisting of twice-weekly bedside diagnosis rounds as part of their 8-week medicine clerkship. ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.857329
更新日期:2014-01-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1164605
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Although medical school typically lasts 4 years, little attention has been devoted to the structure of the educational experience that takes place during the final year of medical school. SUMMARY:In this perspectives paper, we outline goals for the 4th year of medical school to facilitate a transition from ...
journal_title:Teaching and learning in medicine
pub_type: 社论
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更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Many medicine residency training programs include a lecture-based preclinic conference series as part of the ambulatory educational curriculum when more effective teaching formats might be available. Our institution has replaced this lecture-based teaching format with an ambulatory morning report modeled aft...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1301_9
更新日期:2001-01-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401330903228604
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Concept maps can assist learning by integrating new information with existing cognitive structure to facilitate meaningful understanding. The benefits of testable concept maps to illustrate cause-and-effect sequences in the pathogenesis of disease have not yet been determined. PURPOSE:A controlled trial was...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2011.561700
更新日期:2011-04-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
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更新日期:2018-10-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1804_11
更新日期:2006-10-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2013.857332
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abstract::Issue: Despite clear relevance, need, descriptive literature, and student interest, few schools offer required curriculum to develop leadership skills. This paper outlines a proposed shared vision for leadership development drawn from a coalition of diverse medical schools. We advocate that leadership development is a...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1502_09
更新日期:2003-04-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
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更新日期:2010-10-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1204_7
更新日期:2000-10-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章,评审
doi:10.1080/10401334.2013.842912
更新日期:2013-01-01 00:00:00
abstract:UNLABELLED:NEGEA 2015 CONFERENCE ABSTRACT (EDITED): Measuring an Organization's Culture of Feedback: Can It Be Done? Steven Rougas and Brian Clyne. CONSTRUCT: This study sought to develop a construct for measuring formative feedback culture in an academic emergency medicine department. Four archetypes (Market, Adhocrac...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2015.1077133
更新日期:2015-01-01 00:00:00
abstract:PROBLEM:Inappropriate social media behavior can have detrimental effects on students' future opportunities, but medical students are given little opportunity to reflect upon ways of integrating their social media identities with their newly forming professional identities. INTERVENTION:In 2012, a required educational ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1275971
更新日期:2017-07-01 00:00:00
abstract:PROBLEM:Systems-based practice focuses on the organization, financing, and delivery of medical services. The American Association of Medical Colleges has recommended that systems-based practice be incorporated into medical schools' curricula. However, experiential learning in systems-based practice, including practical...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2016.1146606
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The increase in people with insufficient health insurance has largely been fueled by a record influx of immigrants, who often live in medically underserved areas of inner cities. An increase in the desire of medical students to practice in underserved areas is needed to counter low physician-to-population ra...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1803_7
更新日期:2006-07-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2014.883983
更新日期:2014-01-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1603_5
更新日期:2004-07-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/S15328015TLM1401_3
更新日期:2002-01-01 00:00:00
abstract::Phenomenon: An increasing number of refugees in recent years has led to changes in healthcare delivery. Historically, health care providers did not receive systematic and longitudinal training in refugee health. There is increasing interest among educators in developing educational opportunities for medical students t...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2020.1779071
更新日期:2020-10-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1080/10401334.2018.1524330
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Studies have shown that medical student attitudes decline as students progress through school. Controversy persists about the meaning and generalizability of these findings because studies have not been longitudinal and many were conducted prior to an influx of female students. Much of medical education occu...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm0904_2
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Provision of adequate opportunities for faculty to receive training in teaching skills requires persons with faculty development expertise to provide this training. PURPOSE:In this study, we examined outcomes of a teaching scholars program (TSP) aimed at promoting leaders in faculty development in teaching ...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
doi:10.1207/s15328015tlm1703_8
更新日期:2005-07-01 00:00:00
abstract::Phenomenon: This study explored Black/African American and Hispanic/Latino medical students' perceptions of the medical school admissions process. Previous research has explored other elements of the medical education continuum. However, little is known regarding minorities' perceptions of navigating the medical schoo...
journal_title:Teaching and learning in medicine
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更新日期:2017-01-01 00:00:00
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journal_title:Teaching and learning in medicine
pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00