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40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jsurg.2013.08.009" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jsurg.2013.08.009</a>
Pages
405–412
Issue
3
Volume
71
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The relationship between confidence and competence in the development of surgical skills.
Publisher
An entity responsible for making the resource available
Journal of surgical education
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
2014-06
Subject
The topic of the resource
*Clinical Competence; *Education; *Self Efficacy; Adult; competence; confidence; Data Collection; Education; General Surgery/*education; Humans; Medical; medical students; Medical/*psychology; Patient Care; Practice-Based Learning and Improvement; Students; surgical education; surgical skills; Systems-Based Practice; Undergraduate; Video Recording
Creator
An entity primarily responsible for making the resource
Clanton Jesse; Gardner Aimee; Cheung Maureen; Mellert Logan; Evancho-Chapman Michelle; George Richard L
Description
An account of the resource
BACKGROUND: Confidence is a crucial trait of any physician, but its development and relationship to proficiency are still unknown. This study aimed to evaluate the relationship between confidence and competency of medical students undergoing basic surgical skills training. METHODS: Medical students completed confidence surveys before and after participating in an introductory workshop across 2 samples. Performance was assessed via video recordings and compared with pretraining and posttraining confidence levels. RESULTS: Overall, 150 students completed the workshop over 2 years and were evaluated for competency. Most students (88%) reported improved confidence after training. Younger medical students exhibited lower pretraining confidence scores but were just as likely to achieve competence after training. There was no association between pretraining confidence and competence, but confidence was associated with demonstrated competence after training (p \textless 0.001). CONCLUSIONS: Most students reported improved confidence after a surgical skills workshop. Confidence was associated with competency only after training. Future training should investigate this relationship on nonnovice samples and identify training methods that can capitalize on these findings.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jsurg.2013.08.009" target="_blank" rel="noreferrer noopener">10.1016/j.jsurg.2013.08.009</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Clinical Competence
*Education
*Self Efficacy
2014
Adult
Cheung Maureen
Clanton Jesse
competence
confidence
Data Collection
Education
Evancho-Chapman Michelle
Gardner Aimee
General Surgery/*education
George Richard L
Humans
Journal of surgical education
Medical
medical students
Medical/*psychology
Mellert Logan
Patient Care
Practice-Based Learning and Improvement
Students
Surgical education
surgical skills
Systems-Based Practice
Undergraduate
Video Recording
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.amjsurg.2016.10.015" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.amjsurg.2016.10.015</a>
Pages
299–306
Issue
2
Volume
213
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods.
Publisher
An entity responsible for making the resource available
American journal of surgery
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-02
Subject
The topic of the resource
*Internship and Residency; *Medical errors; *Patient handoff; *Patient outcomes; *Patient safety; *Physician communication; *Sign-out; Female; Hospitals; Humans; Length of Stay; Male; Medical Errors/prevention & control; Middle Aged; Patient Handoff/*organization & administration; Patient Outcome Assessment; Patient Safety; Prospective Studies; Teaching; United States
Creator
An entity primarily responsible for making the resource
Clanton Jesse; Gardner Aimee; Subichin Michael; McAlvanah Patrick; Hardy William; Shah Amar; Porter Joel
Description
An account of the resource
BACKGROUND: As residency work hour restrictions have tightened, transitions of care have become more frequent. Many institutions dedicate significant time and resources to patient handoffs despite the fact that the ideal method is relatively unknown. We sought to compare the effect of a rigorous formal handoff approach to a minimized but focused handoff process on patient outcomes. METHODS: A randomized prospective trial was conducted at a large teaching hospital over ten months. Patients were assigned to services employing either formal or focused handoffs. Residents were trained on handoff techniques and then observed by trained researchers. Outcome data including mortality, negative events, adverse events, and length of stay were collected and compared between formal and focused handoff groups using t-tests and a multivariate regression analysis. RESULTS: A total of 5157 unique patient-admissions were stratified into the two study groups. Focused handoffs were significantly shorter and included fewer patients (mean 6.3 patients discussed over 6.7 min vs. 35.2 patients over 20.6 min, both p \textless 0.001). Adverse events occurred during 16.7% of patient admissions. While overall length of stay was slightly shorter in the formal handoff group (5.50 days vs 5.88 days, p = 0.024) in univariate analysis only, there were no significant differences in patient outcomes between the two handoff methods (all p \textgreater 0.05). CONCLUSIONS: This large randomized trial comparing two contrasting handoff techniques demonstrated no clinically significant differences in patient outcomes. A minimalistic handoff process may save time and resources without negatively affecting patient outcomes.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.amjsurg.2016.10.015" target="_blank" rel="noreferrer noopener">10.1016/j.amjsurg.2016.10.015</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Internship and Residency
*Medical errors
*Patient handoff
*Patient outcomes
*Patient safety
*Physician communication
*Sign-out
2017
American journal of surgery
Clanton Jesse
Female
Gardner Aimee
Hardy William
Hospitals
Humans
Length of Stay
Male
McAlvanah Patrick
Medical Errors/prevention & control
Middle Aged
Patient Handoff/*organization & administration
Patient Outcome Assessment
Patient Safety
Porter Joel
Prospective Studies
Shah Amar
Subichin Michael
Teaching
United States