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Improving Learner Handovers in Medical Education
- Source :
- Academic Medicine. 92:927-931
- Publication Year :
- 2017
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2017.
-
Abstract
- Multiple studies have demonstrated that the information included in the Medical Student Performance Evaluation fails to reliably predict medical students’ future performance. This faulty transfer of information can lead to harm when poorly prepared students fail out of residency or, worse, are shuttled through the medical education system without an honest accounting of their performance. Such poor learner handovers likely arise from two root causes: (1) the absence of agreed-on outcomes of training and/or accepted assessments of those outcomes, and (2) the lack of standardized ways to communicate the results of those assessments. To improve the current learner handover situation, an authentic, shared mental model of competency is needed; high-quality tools to assess that competency must be developed and tested; and transparent, reliable, and safe ways to communicate this information must be created. To achieve these goals, the authors propose using a learner handover process modeled after a patient handover process. The CLASS model includes a description of the learner’s Competency attainment, a summary of the Learner’s performance, an Action list and statement of Situational awareness, and Synthesis by the receiving program. This model also includes coaching oriented towards improvement along the continuum of education and care. Just as studies have evaluated patient handover models using metrics that matter most to patients, studies must evaluate this learner handover model using metrics that matter most to providers, patients, and learners.
- Subjects :
- Adult
Male
Students, Medical
020205 medical informatics
Situation awareness
Mental model
02 engineering and technology
Coaching
Education
Young Adult
03 medical and health sciences
Professional Competence
0302 clinical medicine
0202 electrical engineering, electronic engineering, information engineering
Humans
Medicine
030212 general & internal medicine
Medical education
Education, Medical
business.industry
Communication
Internship and Residency
Class model
General Medicine
Harm
Handover
Female
Curriculum
Educational Measurement
business
Patient handover
Subjects
Details
- ISSN :
- 10402446
- Volume :
- 92
- Database :
- OpenAIRE
- Journal :
- Academic Medicine
- Accession number :
- edsair.doi.dedup.....2c85f1746f421bcc9365ae16806acaa6
- Full Text :
- https://doi.org/10.1097/acm.0000000000001457