Implementation of a Peer-to-Peer Teaching Intervention Improved Electronic Discharge Summary Documentation by New Internal Medicine Residents
| Autor: | Latif Rafay, Oloruntobi Rahaman, Syed Abid, Abdelhaleem Sideeg, Paulisa Ward, Ahmed Otokiti, M. Dongol, Raji Ayinla, Mohamed Osman |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry 030503 health policy & services education Confounding Medicine (miscellaneous) Confidence interval Education Test (assessment) 03 medical and health sciences 0302 clinical medicine Documentation Internal medicine Intervention (counseling) Cohort medicine Observational study 030212 general & internal medicine 0305 other medical science business Discharge summary |
| Zdroj: | Medical Science Educator. 28:345-350 |
| ISSN: | 2156-8650 |
| DOI: | 10.1007/s40670-018-0551-4 |
| Popis: | The early months of residency training (EMCT) from July to September can be overwhelming for interns, or post-graduate year one (PGY1) residents. Traditional orientation may not be sufficient to ensure a smooth transition to residency. Interns are responsible for completing discharge summaries in most training hospitals but receive little or no prior training. The objective of this study was to determine the effectiveness of a peer-to-peer orientation of new (incoming) PGY1 internal medicine residents by present (outgoing) PGY1 residents. This was an observational, analytical (cohort), single-center study. The intervention group, new (incoming) 2016 internal medicine, or PGY1, residents were exposed to a 2-h peer-to-peer orientation, in addition to the traditional orientation process. The internal medicine residents from the previous year (2015 PGY1 residents), exposed to only the traditional orientation process (TOP) prior to their commencement of residency, served as the control group. A comparison between the groups’ discharge summary documentation (DC summary) was performed using an independent two-sample t test; linear regression analysis was applied to control for potential confounders. Statistically significant differences were found in mean discharge summary scores between the intervention and control group. The intervention group had a higher average score (mean 73.6; standard deviation (SD) 12.3; 95% confidence interval (CI) 68.0–79.1) than the control group (mean 65.7; SD 7.9; 95% CI 62.5–69.0). Using a two-tailed independent t test, the mean difference between both groups was found to be 7.8, or 12% (95% CI 1.8–13.8; p = 0.012). This highly portable intervention may improve discharge summary documentations by new PGY1 residents during EMCT if implemented nationwide. |
| Databáze: | OpenAIRE |
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