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Faculty member review and feedback using a sign-out checklist: improving intern written sign-out.

Abstract

PURPOSE
Although residents commonly perform patient care sign-out during training, faculty do not frequently supervise or evaluate sign-out. The authors designed a sign-out checklist, and they investigated whether use of the checklist, paired with faculty member review and feedback, would improve interns' written sign-out.
METHOD
In a randomized, controlled design in 2011, the authors compared the sign-out content and the overall sign-out summary scores of interns who received twice-monthly faculty member sign-out evaluation with those of interns who received the standard sign-out instruction. A sign-out checklist, which the authors developed on the basis of internal needs assessment and published sign-out recommendations, guided the evaluation of written sign-out content and sign-out organization as well as the twice-monthly, face-to-face evaluation that the interns in the intervention group received.
RESULTS
Using the sign-out checklist and receiving feedback from a faculty member led to statistically significant improvements in interns' sign-out. Through regression analysis, the authors calculated a 23% difference in the sign-out content (P = .005) and a 2.2-point difference in the overall summary score (on a 9-point scale, P = .009) between the interns who received sign-out feedback and those who did not. The content and quality of the intervention group's sign-outs improved, whereas the content and quality of the control group's worsened.
CONCLUSIONS
A sign-out checklist paired with twice-monthly, face-to-face feedback from a faculty member led to improvements in the content and quality of interns' written sign-out.

Links

  • Publisher Full Text
  • Authors

    Bump GM, Bost JE, Buranosky R, Elnicki M

    Source

    Academic medicine : journal of the Association of American Medical Colleges 87:8 2012 Aug pg 1125-31

    MeSH

    Checklist
    Clinical Competence
    Communication
    Continuity of Patient Care
    Curriculum
    Education, Medical, Graduate
    Educational Measurement
    Faculty, Medical
    Feedback
    Female
    Humans
    Internal Medicine
    Internship and Residency
    Male
    Quality of Health Care
    Regression Analysis
    Risk Management
    Safety Management
    Writing

    Pub Type(s)

    Journal Article
    Randomized Controlled Trial

    Language

    eng

    PubMed ID

    22722359