Abstract

This study aimed to assess current education and practices of emergency medicine (EM) residents as perceived by EM program directors to determine if there are deficits in resident discharge handoff training. This survey study was guided by the Kern model for medical curriculum development. A six-member Council of EM Residency Directors (CORD) Transitions of Care task force of EM physicians performed these steps and constructed a survey. The survey was distributed to program residency directors via the CORD listserve and/or direct contact. There were 119 responses to the survey, which were collected using an online survey tool. Over 71% of the 167 American College of Graduate Medical Education (ACGME) accredited EM residency programs were represented. Of those responding, 42.9% of programs reported formal training regarding discharges during initial orientation and 5.9% reported structured curriculum outside of orientation. A majority (73.9%) of programs reported that EM residents were not routinely evaluated on their discharge proficiency. Despite the ACGME requirements requiring formal handoff curriculum and evaluation, many programs do not provide formal curriculum on the discharge transition of care or evaluate EM residents on their discharge proficiency.

Highlights

  • IntroductionA Survey of Discharge Transition-of-Care Education and Evaluation in Emergency Medicine Residency Programs

  • Title Ready for Discharge? A Survey of Discharge Transition-of-Care Education and Evaluation in Emergency Medicine Residency Programs

  • None of the respondents reported their junior or senior level residents to be incompetent in their discharge abilities. These results provide insight into the discharge educational practices and clinical training experience surrounding discharge of emergency medicine (EM) residents as reported by their program leadership

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Summary

Introduction

A Survey of Discharge Transition-of-Care Education and Evaluation in Emergency Medicine Residency Programs. This study aimed to assess current education and practices of emergency medicine (EM) residents as perceived by EM program directors to determine if there are deficits in resident discharge handoff training. This survey study was guided by the Kern model for medical curriculum development. Over 71% of the 167 American College of Graduate Medical Education (ACGME) accredited EM residency programs were represented Of those responding, 42.9% of programs reported formal training regarding discharges during initial orientation and 5.9% reported structured curriculum outside of orientation. Residents may not recognize patient factors that place patients at high risk for readmission.[8]

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