OPEN ACCESSAugust 5, 2014

I-PASS Handoff Curriculum: Medical Student Workshop

    Jennifer O'Toole, MD, MEd1, Sharon Calaman, MD2, Jennifer Everhart, MD3, Zia Bismilla, MD4, Brian Good, MD5, Amy Guiot, MD6, Noelle Johnstone7, Vahideh Nilforoshan8, Elizabeth Noble9, Glenn Rosenbluth, MD10, Sarah Schwartz11, Lauren Solan12, Lisa Tse, BS13, Daniel West, MD14, Jason Weiser15, Christopher Landrigan, MD, MPH16, Theodore Sectish, MD17, Rajendu Srivastava, MD, MPH, FRCPC18, Amy Starmer, MD, MPH19, Nancy Spector, MD20
    1 Cincinnati Children's Hospital Medical Center
    2 St. Christopher's Hospital for Children
    3 Lucile Packard Children's Hospital
    4 Hospital for Sick Children
    5 Primary Children's Hospital/University of Utah School of Medicine
    6 Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine
    7 Lucille Packard Children's Hospital/Stanford University School of Medicine
    8 St. Christopher's Hospital/Drexel University College of Medicine
    9 Boston Children's Hospital
    10 University of California, San Francisco, School of Medicine, Benioff Children's Hospital
    11 Hospital for Sick Children/University of Toronto
    12 Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine
    13 Boston Children's Hospital
    14 University of California, San Francisco, School of Medicine, Benioff Children's Hospital
    15 Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine
    16 Boston Children's Hospital
    17 Children's Hospital Boston
    18 Primary Children's Medical Center
    19 Children's Hospital Boston
    20 St. Christopher's Hospital for Children

    Abstract

    The Medical Student Workshop is a companion piece to the Core Resident Workshop, as well as the other elements in the I-PASS Handoff Curriculum. Its curricular materials have been modified to meet the needs of a group of more novice learners during their introduction to clinical care. The workshop includes a 60-minute didactic and interactive session that is devoted to team training in structured communication techniques and to the teaching of a standardized approach to the handoff process, including the integration of verbal and written handoff components. Key structured team communication techniques and the I-PASS mnemonic are taught in detail and reinforced with the use of trigger videos and large group discussion. The final 30-minutes of the workshop are devoted to two handoff simulations exercises. The handoff simulation exercises feature interactive role plays in which participants (in groups of two or three) gain hands-on experience and practice the I-PASS handoff technique under the supervision of a faculty member or senior resident. Similar in content to the I-PASS Handoff Core Resident Workshop, this workshop has been tailored to fit the needs of medical students as novice clinicians with limited clinical experience and emerging medical knowledge. This curriculum was implemented for third- and fourth-year medical students during their inpatient pediatric rotations from June — December 2013 at six medical schools and pediatric hospitals across North America including: (1) University of Cincinnati College of Medicine/Cincinnati Children's Hospital Medical Center; (2) UCSF School of Medicine/Benioff Children's Hospital; (3) University of Utah School of Medicine/Primary Children's Medical Center; (4) Drexel University College of Medicine/St. Christopher's Hospital for Children; (5) University of Toronto Faculty of Medicine/Hospital for Sick Children; and (6) Stanford University School of Medicine/Lucile Packard Children's Hospital.

    Educational Objectives

    By the end of the module, learners will be able to:

    1. Describe the importance of effective communication in reducing medical errors.

    2. Detail the essential content and sequence of effective handoffs.

    3. Apply effective team training strategies to improve handoffs.

    4. Practice handoff skills.

    References