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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao The Clinical Teacherarrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
The Clinical Teacher
Article . 2020 . Peer-reviewed
License: Wiley Online Library User Agreement
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Integrating handover curricula in medical school

Authors: Jim Sheng; Sonakshi Manjunath; Meghan Michael; Prakash Gajera; Eric Wang; Dorothy Sendelbach; Philip Greilich; +1 Authors

Integrating handover curricula in medical school

Abstract

Summary Background Transitions of care are a patient‐safety priority. Constructs such as SBAR (situation, background, assessment, recommendation) and I‐ PASS (illness severity, patient summary, action list, situation awareness, synthesis by receiver) have been used to teach the benefit of structured handovers and have demonstrated an impact in simulated and clinical environments. Despite this, there is still a lack of literature describing handover training for medical students that allows early and sustained knowledge and skill acquisition. Methods We designed a curriculum to teach handovers to medical students that spanned 28 months of a 4‐year medical education curriculum at a large medical school. The curriculum included two separate workshops that book‐ended medical student core clerkships. The curriculum was evaluated via knowledge‐based surveys and open‐ended feedback from students. Results Two‐hundred and forty students participated in the first ‘Transition to clerkship’ (T2C) workshop. There was improvement in the mean scores on a knowledge‐based survey after the workshop (p < 0.001). The overall improvement in performance remained significant 1 year later (p < 0.001). Following the second, ‘Residency essentials’ ( RE ) workshop, students demonstrated marginal improvement in knowledge when compared with scores immediately post‐T2C and pre‐ RE . There was overall improvement from pre‐T2C to post RE . Discussion We outline the design and facilitation of two workshops for a large medical school class, as book‐ended curricula before and after the clerkship phase of education. This project highlights the need for targeted learning and practice in handover delivery during clinical rotations to maintain and continually improve skills. We describe vertically integrated curricula that are logistically plausible, meaningful and beneficial.

Keywords

Students, Medical, Education, Medical, Clinical Clerkship, Patient Handoff, Humans, Clinical Competence, Curriculum, Schools, Medical, Education, Medical, Undergraduate

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
11
Top 10%
Top 10%
Top 10%
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