Training to Transition: Using Simulation-Based Training to Improve Resident Physician Confidence in Hospital Discharges.

Abstract

Introduction

Hospital discharge is a highly critical and complex process that is prone to medical errors, poor communication, and ineffective synchronization of transitional teams. Improving safety during postacute care transitions has become a national focus. Simulation-based training is an underutilized method of instruction for medical resident transitions of care education.

Methods

As an integral part of a transitions curriculum, 36 PGY 1 residents from internal medicine and transitional year residency programs underwent a discharge simulation utilizing a trained simulated participant (SP) and a lay caregiver. The objective of the training was to implement a simulation-based education intervention to improve transition practices and discharge communication in graduate medical education. A faculty observer used a case-specific discharge rubric to standardize feedback to the resident and observed the resident navigate the electronic medical record (EMR) for discharge orders. Pretest and posttest surveys assessing resident attitudes and confidence regarding specific areas of the discharge process were distributed to all participating residents for completion.

Results

Thirty-six internal medicine and transitional year residents (100%) completed an observed discharge simulation with an SP and a separate encounter with the EMR discharge navigator. All 36 residents (100%) completed the pretest survey, and 23 (63%) completed the postsurvey evaluation. Postsurvey results showed residents agreed (92%, p < .05) that the simulation increased their confidence in safely discharging a patient.

Discussion

Simulation encounters are an effective adjunct to postacute care transition education.

Department

Description

Provenance

Citation

Published Version (Please cite this version)

10.15766/mep_2374-8265.11348

Publication Info

Sizemore, Jenna, Andrea Bailey, Spoorthi Sankineni, Karen Clark, Shanthi Manivannan, Maria Kolar, Mary Warden, Sarah Sofka, et al. (2023). Training to Transition: Using Simulation-Based Training to Improve Resident Physician Confidence in Hospital Discharges. MedEdPORTAL : the journal of teaching and learning resources, 19. p. 11348. 10.15766/mep_2374-8265.11348 Retrieved from https://hdl.handle.net/10161/29212.

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Scholars@Duke

Spoorthi Kiran Sankineni

Consulting Associate in the Department of Medicine

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