« Back to Search
Teaching Medical Students Patient Handoffs in Obstetrics and Gynecology: A Curriculum and Assessment Tool
To test efficacy of a student performance assessment tool in a simulated patient encounter and handoff.
Patient handoffs are a common source of medical errors.We developed a simulation including patient interaction, treatment plan and handoff and an assessment tool with the categories used for clerkship grades. We hypothesized simulation performance would correlate with clinical communication skills and clerkship grades.
This is a prospective, observational study to determine the reliability of a tool to assess student evaluation and management of a simulated patient encounter and handoff in a common obstetric emergency—incomplete abortion with significant blood loss. Two faculty independently rated students. Scores were evaluated for inter-rater reliability and compared to clerkship grades.
Among 37 students analyzed, there was only moderate correlation between observers on history taking, fund of knowledge and interpersonal skills. There was no correlation for presentation skills, evaluation and management, professionalism, systems awareness and desire to learn. Students found the exercise useful: 88% agreed the simulation taught handoff skills, 78% agreed the exercise was realistic, and 72% agreed the simulation increased confidence in handoffs.
Our curriculum provides an opportunity for learning and practice of patient handoffs. Students found it relevant, realistic and effective. Although our tool was based on a clerkship grading tool currently used for students, we found only modest inter-rater reliability on 3 of 8 items. This suggests the clerkship grading tool may not provide objective assessment of clinical performance and further study of its inter-rater reliability is warranted.
2014, Resident, Clerkship Director, Clerkship Coordinator, Patient Care, Systems-Based Practice & Improvement, Practice-Based Learning & Improvement, GME, Assessment, Simulation, Quality & Safety, General Ob-Gyn,