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Using standardized videos to validate a measure of handoff quality: the handoff mini-clinical examination exercise.


ABSTRACT: The most recent iteration of the Accreditation Council for Graduate Medical Education duty-hour regulations includes language mandating handoff education for trainees and assessments of handoff quality by residency training programs. However, there is a lack of validated tools for the assessment of handoff quality and for use in trainee education.Faculty at 2 sites (University of Chicago and Yale University) were recruited to participate in a workshop on handoff education. Video-based scenarios were developed to represent varying levels of performance in the domains of communication, professionalism, and setting. Videos were shown in a random order, and faculty were instructed to use the Handoff Mini-Clinical Examination Exercise (CEX), a paper-based instrument with qualitative anchors defining each level of performance, to rate the handoffs.Forty-seven faculty members (14 at site 1; 33 at site 2) participated in the validation workshops, providing a total of 172 observations (of a possible 191 [96%]). Reliability testing revealed a Cronbach ? of 0.81 and Kendall coefficient of concordance of 0.59 (>0.6?=?high reliability). Faculty were able to reliably distinguish the different levels of performance in each domain in a statistically significant fashion (ie, unsatisfactory professionalism mean 2.42 vs satisfactory professionalism 4.81 vs superior professionalism 6.01, P?

SUBMITTER: Arora VM 

PROVIDER: S-EPMC4079746 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature

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Using standardized videos to validate a measure of handoff quality: the handoff mini-clinical examination exercise.

Arora Vineet M VM   Berhie Saba S   Horwitz Leora I LI   Saathoff Mark M   Staisiunas Paul P   Farnan Jeanne M JM  

Journal of hospital medicine 20140324 7


<h4>Background</h4>The most recent iteration of the Accreditation Council for Graduate Medical Education duty-hour regulations includes language mandating handoff education for trainees and assessments of handoff quality by residency training programs. However, there is a lack of validated tools for the assessment of handoff quality and for use in trainee education.<h4>Methods</h4>Faculty at 2 sites (University of Chicago and Yale University) were recruited to participate in a workshop on handof  ...[more]

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