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01.02.2010 | Innovations in Education

Hand-off Education and Evaluation: Piloting the Observed Simulated Hand-off Experience (OSHE)

verfasst von: Jeanne M. Farnan, MD, MHPE, J. A. M. Paro, BA, R. M. Rodriguez, BA, S. T. Reddy, MD, L. I. Horwitz, MD, MPH, J. K. Johnson, MSPH, PhD, V. M. Arora, MD, MAPP

Erschienen in: Journal of General Internal Medicine | Ausgabe 2/2010

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Abstract

Aim

The Observed Simulated Hand-off Experience (OSHE) was created to evaluate medical students’ sign-out skills using a real-time assessment tool, the Hand-off CEX.

Setting

Thirty-two 4th year medical students participated as part of an elective course.

Program description

One week following an interactive workshop where students learned effective hand-off strategies, students participated in an experience in which they performed a hand-off of a mock patient using simulated history and physical examination data and a brief video.

Program evaluation

Internal medicine residents served as standardized hand-off receivers and were trained on expectations. Students were provided feedback using a newly developed Hand-off CEX, based on the “Mini-CEX,” which rates overall hand-off performance and its components on a 9-point Likert-type scale. Outcomes included performance ratings and pre- and post-student self-assessments of hand-off preparedness. Data were analyzed using Wilcoxon signed-rank tests and descriptive statistics. Resident receivers rated overall student performance with a mean score of 6.75 (range 4–9, maximum 9). Statistically significant improvement was observed in self-perceived preparedness for performing an effective hand-off (67% post- vs. 27% pre-reporting ‘well-prepared,’ p < 0.009).

Discussion

This brief, standardized hand-off training exercise improved students’ confidence and was rated highly by trained observers. Future work focuses on formal validation of the Hand-off CEX instrument.

Nur mit Berechtigung zugänglich

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Titel: Hand-off Education and Evaluation: Piloting the Observed Simulated Hand-off Experience (OSHE)
verfasst von: Jeanne M. Farnan, MD, MHPE
J. A. M. Paro, BA
R. M. Rodriguez, BA
S. T. Reddy, MD
L. I. Horwitz, MD, MPH
J. K. Johnson, MSPH, PhD
V. M. Arora, MD, MAPP
Publikationsdatum: 01.02.2010
Verlag: Springer-Verlag
Erschienen in: Journal of General Internal Medicine / Ausgabe 2/2010
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-009-1170-y

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Abstract

Aim

Setting

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