Does Medical Student Hand-Over Training on a Third-Year Pediatric Clerkship Improves Skill and Confidence Level?
Tóm tắt
Patient hand-over is a critical skill to develop in the era of reduced duty hours. There is insufficient data in the literature that medical students, especially in the third year, are being instructed to participate in a patient hand-over. Early introduction into the curriculum should provide earlier competency which has the potential to decrease the number of medical errors related to communication. All students were expected to use our institution’s hand-over mnemonic SAFETIPS when signing out on inpatient wards. Students were randomly assigned to a curriculum or control group and completed patient hand-over student confidence pre-surveys. The curriculum group participated in a faculty-led workshop at the beginning of the clerkship teaching hand-overs. Faculty members assessed student hand-overs at the end of clerkship, followed by a student post-survey. The statistically significant difference (P = .001) in median inventory scores (alpha = .70) for students in the curriculum (13.0(±2.0)) vs. control (12.0(±5.0)) is coupled to an effect size (Cliff’s d = 0.34). Five SAFETIPS items reported significant increases (p ≤ .050) for students in the curriculum vs. control. Significant increases in pre-/post-survey (alpha = .84/.87) scores are reported for students in the curriculum (pre/post difference = 9.0, P = .001) and in the control group (difference = 7.3, P = .001) for the survey. The largest individual item increases for both groups were “using SAFETIPS to give/listen to hand-over of patients” (difference = 2.0, P = .001). Third-year medical student skill and confidence level giving patient hand-over using SAFETIPS is improved with the use of a formal curriculum.
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Tài liệu tham khảo
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