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Hand-off education and evaluation: piloting the observed simulated hand-off experience (OSHE).


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.

Electronic supplementary material

The online version of this article (doi:10.1007/s11606-009-1170-y) contains supplementary material, which is available to authorized users.

SUBMITTER: Farnan JM 

PROVIDER: S-EPMC2837504 | biostudies-literature | 2010 Feb

REPOSITORIES: biostudies-literature

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Publications

Hand-off education and evaluation: piloting the observed simulated hand-off experience (OSHE).

Farnan Jeanne M JM   Paro J A M JA   Rodriguez R M RM   Reddy S T ST   Horwitz L I LI   Johnson J K JK   Arora V M VM  

Journal of general internal medicine 20100201 2


<h4>Aim</h4>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.<h4>Setting</h4>Thirty-two 4th year medical students participated as part of an elective course.<h4>Program description</h4>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  ...[more]

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2008-02-01 | GSE9842 | GEO