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• W2314443301 abstract "OPEN ACCESSFebruary 14, 2012Handover and Care Transitions Training for Internal Medicine Residents Manuel Eskildsen, MD, MPH, Joanna Bonsall, MD, Amy Miller, Ugochi Ohuabunwa, MD, Christina Payne, Eva Rimler, MD, Jason Stein, MD Manuel Eskildsen, MD, MPH Emory University School of Medicine Google Scholar More articles by this author , Joanna Bonsall, MD Emory University Google Scholar More articles by this author , Amy Miller Emory University Google Scholar More articles by this author , Ugochi Ohuabunwa, MD Emory University Google Scholar More articles by this author , Christina Payne Emory University Google Scholar More articles by this author , Eva Rimler, MD Emory University Google Scholar More articles by this author , Jason Stein, MD Emory University Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9101 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractThe presentations and exercises in this resource are intended to serve as introductory training tools for interns and residents for them to better perform care transitions. In this context, care transitions are defined as “the movement patients make between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness” (Care Transitions Program, http://caretransitions.org). For our training exercises, we have focused on two types of transitions: handovers of patients between hospital providers, as well as hospital discharges.In this resource, we have two different training experiences offered to internal medicine interns and residents at the Emory University School of Medicine: a two-hour workshop on care transitions issues offered to interns during their initial orientation, as well as an interactive presentation given to all residents a month into the academic year.The enclosed learning materials are part of a comprehensive curriculum for internal medicine interns and residents addressing care transitions in the hospital. It specifically covers handovers of patients in the hospital, as well as issues regarding patient care at discharge.On the first implementation of this curriculum during the 2010–2011 academic year, the interns receiving the initial orientation gave the course a 4.1/5 in terms of perceived effectiveness. Interns' confidence in their ability to perform care transitions tasks improved from 19.8 to 25.7 on a 30-point scale (p<0.0001), and knowledge scores improved from 4.5 to 5.7 out of 8 (p<0.0001), from pre- to post-course. After the course, 79% (34 of 43) answered “agree” or “strongly agree” when asked whether the course played a key role in their ability to hand over patients. 67% (29 of 43) answered “agree” or “strongly agree” when asked the same question about their ability to discharge patients.This was the first dedicated curriculum on handovers or care transitions for medical residents at the Emory University School of Medicine. The lectures and exercises included in this resource are the core of a longitudinal care transitions curriculum that is now part of Emory's internal medicine training program. Educational Objectives After completing the course, learners should be able to: Identify what patient information should be included at handover.Communicate the essential elements of a nightly handover.Recognize patients at risk during transitions of care.Communicate clearly with patients and families, and members of the health care team during hospital discharge.Manage discharge medications to ensure safety and patient adherence. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Facilitator Guide.docx DC Summary Exercise Intern.doc DC Summary Template.doc Good Handover.wmv Handover Intern Guide.doc Handover Template Facilitator.doc Handover Template Intern.doc Intern Orientation.ppt Resident Lecture Handout Facilitator Version.doc Resident Lecture.ppt VIDEO_TS Folder Pocketcard.pdf To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. This publication includes large downloadable files. If you experience difficulty downloading these files, please contact [email protected] to receive a free DVD version via mail. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationEskildsen M, Bonsall J, Miller A, Ohuabunwa U, Payne C, Rimler E, Stein J. Handover and Care Transitions Training for Internal Medicine Residents. MedEdPORTAL. 2012;8:9101. https://doi.org/10.15766/mep_2374-8265.9101 Copyright & Permissions© 2012 Eskildsen et al. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivatives license.KeywordsHandoversTransitionsHand-offs Disclosures None to report. Funding/Support None to report. Loading ..." @default.
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