ArticleJournal of graduate medical education2013
Current Practice in End-of-Residency Handoffs: A Survey of Internal Medicine-Pediatrics Program Directors.
Article in Journal of graduate medical education, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed.
- A Decade of Teaching and Learning in Internal Medicine Ambulatory Education: A Scoping Review.Journal of graduate medical education · 2019Article
- Year-End Clinic Handoffs: A National Survey of Academic Internal Medicine Programs.Journal of general internal medicine · 2017Article
- A multicenter intervention to improve ambulatory care handoffs at the end of residency.Journal of graduate medical education · 2014Article
- A survey of primary care resident attitudes toward continuity clinic patient handover.Journal of community hospital internal medicine perspectives · 2014Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnd-of-residency outpatient handoffs affect at least 1 million patients per year, yet there is no consensus on best practices.
objectiveTo explore the use of formal systems for end-of-residency clinic handoffs in internal medicine-pediatrics residency (Med-Peds) programs, and their associated categorical internal medicine and pediatrics programs.
methodsWe surveyed Med-Peds program directors about their programs' system for handing off ambulatory continuity patients.
resultsOur response rate was 85% (67 of 79 programs). Thirty-one programs (46%) reported having a system for end-of-residency handoffs. Of the 30 that offered detailed information, 22 (73%) formally introduced the program to residents, 12 (40%) standardized the handoff, and 14 (47%) used multiple methods for information exchange, with the electronic health record and oral transfer of information (15 of 30, 50%) the most common. Six programs (20%) indicated they did not offer residents protected time to complete end-of-residency handoffs, and 13 programs (43%) did not identify a specific postgraduate year level for residents to whom patients were handed off. Programs were more likely to have a system for end-of-residency handoffs if another categorical program at their institution also had one (P < .001).
conclusionsFewer than half of responding Med-Peds programs have outpatient handoff systems in place. Inclusion of end-of-residency handoff information in the electronic health record may represent a best practice that has the potential of enhancing continuity and safety of care for patients in resident continuity clinics.
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Registered trials
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