Abstract
Emergency department (ED) staffing and patient assignments contribute to the clinical training environment during residency. Excessive patient hand offs (eg, sign-outs) at change of shift is associated with medical error and excess cognitive load, and may negatively impact resident education and wellness. We aimed to characterize subjective resident experience and objectively measure resident sign-out burden before and after implementing a physician staffing model change and a non-geographically localized patient care model in an urban academic ED.
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