Evidence map›Paper›PMID 26831306›Full record

ArticleJournal of general internal medicine2016

The Modified, Multi-patient Observed Simulated Handoff Experience (M-OSHE): Assessment and Feedback for Entering Residents on Handoff Performance.

Sean Gaffney, Jeanne M Farnan, Kristen Hirsch, Michael McGinty, Vineet M Arora

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Educational Interventions to Improve Handover in Health Care: An Updated Systematic Review.Academic medicine : journal of the Association of American Medical Colleges · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sean GaffneyUniversity of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Jeanne M FarnanUniversity of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Kristen HirschUniversity of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Michael McGintyUniversity of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Vineet M AroraUniversity of Chicago Pritzker School of Medicine, Chicago, IL, USA. varora@medicine.bsd.uchicago.edu.

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI MARSHALL H CHIN · 2011 to 2026
$10.0M
6 · The paper itself

Abstract

backgroundDespite the identification of transfer of patient responsibility as a Core Entrustable Professional Activity for Entering Residency, rigorous methods to evaluate incoming residents' ability to give a verbal handoff of multiple patients are lacking.

aimOur purpose was to implement a multi-patient, simulation-based curriculum to assess verbal handoff performance.

settingGraduate Medical Education (GME) orientation at an urban, academic medical center.

participantsEighty-four incoming residents from four residency programs participated in the study. PROGRAM DESCRIPTION: The curriculum featured an online training module and a multi-patient observed simulated handoff experience (M-OSHE). Participants verbally "handed off" three mock patients of varying acuity and were evaluated by a trained "receiver" using an expert-informed, five-item checklist. PROGRAM EVALUATION: Prior handoff experience in medical school was associated with higher checklist scores (23% none vs. 33% either third OR fourth year vs. 58% third AND fourth year, p = 0.021). Prior training was associated with prioritization of patients based on acuity (12% no training vs. 38% prior training, p = 0.014). All participants agreed that the M-OSHE realistically portrayed a clinical setting.

conclusionsThe M-OSHE is a promising strategy for teaching and evaluating entering residents' ability to give verbal handoffs of multiple patients. Prior training and more handoff experience was associated with higher performance, which suggests that additional handoff training in medical school may be of benefit.

Indexed as

Clinical CompetenceCurriculumFeedback, PsychologicalPatient HandoffEducation, Medical, GraduateFemaleHumansInternship and ResidencyMalecommunication skillsmedical educationmedical student and residency education

Identifiers

PMID26831306
PMCPMC4803693

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.