Purpose: To assess whether resident involvement and feedback affects student performance in an innovative handoff curriculum.
Background: Handoffs play an integral role in patient safety. The Association of American Medical Colleges cites handoffs as a Core Entrustable Professional Activity for medical students to achieve prior to graduation. Loyola Stritch School of Medicine’s OB/GYN clerkship implemented a new medical student handoff curriculum using the I-PASS format. Because handoffs are resident-driven in the academic environment and student learning can be enhanced by resident feedback, we studied whether differing levels of resident exposure prior to the OSCE affected student I-PASS handoff task performance.
Methods: Clerkship orientation included an introduction to the I-PASS handoff technique. Voluntary student participants performed I-PASS handoffs during L&D shifts and received resident observation and feedback at least once. Standardized patients evaluated student performance of I-PASS within the clerkship OSCE. Data were analyzed using one-way ANOVA, grouping students by number of completed L&D shifts prior to their OSCE (low, medium, or high resident exposure). Participants also completed a feedback survey about their study experience.
Results: Pilot study data reports 60.5% (n=23) student participation with median OSCE score 11/16. There was no difference in OSCE scores among student groups.
Preliminary study data reports 53% (n = 80) student participation. Qualitative survey responses indicate students appreciate resident involvement. Remainder of data analysis is pending.
Discussions: Implementing an innovative student handoff curriculum is feasible, but incentivized participation is needed. Students appreciate resident involvement; data to support improvement in student performance is pending analysis.
Topics: CREOG & APGO Annual Meeting, 2022, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Patient Care, Interpersonal & Communication Skills, UME, Assessment, Quality & Safety,
Elyse Schultz, MD, MPH, Loyola University Medical Center; Anne Tjaden, MD; Margaret Kistner, MD; Abigail Otto, MD; Paula White, MD; Linda Yang, MD, MS
