scholarly journals Videotaped Unannounced Standardized Patient Encounters to Evaluate Interpersonal and Communication Skills in Emergency Medicine Residents

2019 ◽  
Vol 4 (4) ◽  
pp. 419-422
Author(s):  
Arlene S. Chung ◽  
Sally Bogoch ◽  
Shivani Mody ◽  
Colleen Smith ◽  
Illya Pushkar ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Communication Skills ◽  
Standardized Patient ◽  
Standardized Patient Encounters

Comparing Nurse Practitioner Student Diagnostic Reasoning Outcomes in Telehealth and Face-to-Face Standardized Patient Encounters

2018 ◽  
Vol 9 (3) ◽  
pp. 27-35 ◽  
Author(s):  
Laurie Posey ◽  
Christine Pintz ◽  
Quiping (Pearl) Zhou ◽  
Karen Lewis ◽  
Pamela Slaven-Lee ◽  
...  
Keyword(s):  
Nurse Practitioner ◽  
Diagnostic Reasoning ◽  
Standardized Patient ◽  
Face To Face ◽  
Standardized Patient Encounters

scholarly journals Situation-Background-Assessment-Recommendation (SBAR) and Emergency Medicine Residents' Learning of Case Presentation Skills

2012 ◽  
Vol 4 (3) ◽  
pp. 370-373 ◽  
Author(s):  
Matthew C. Tews ◽  
J. Marc Liu ◽  
Robert Treat
Keyword(s):  
Emergency Medicine ◽  
Communication Skills ◽  
Comfort Level ◽  
Future Research ◽  
First Year ◽  
Clinical Environment ◽  
General Applicability ◽  
Good Reliability ◽  
First Case ◽  
Patient Handoffs

Abstract Background To date, no standardized presentation format is taught to emergency medicine (EM) residents during patient handoffs to consulting or admitting physicians. The Situation-Background-Assessment-Recommendation (SBAR) is a common format that provides a consistent framework to communicate pertinent information. Objective The objective of this study was to describe and evaluate the feasibility of using SBAR to teach interphysician communication skills to first-year EM residents to use during patient handoffs. Methods An educational study was designed as part of a pilot curriculum to teach first-year EM residents handoff communication skills. A standardized SBAR reporting format was taught during a 1-hour didactic intervention. All residents were evaluated using pretest/posttest simulated cases using a 17-item SBAR checklist initially, and then within 4 months to assess retention of the tool. A survey was distributed to determine resident perceptions of the training and potential clinical utility. Results There was a statistically significant improvement from the resident scores on the pretest/posttest of the first case (P  =  .001), but there was no difference between posttest of the first case and pretest of the second case (P  =  .34), suggesting retention of the material. There was a statistically significant improvement from the pretest and posttest scores on the second case (P  =  .001). The survey yielded good reliability for both sessions (Cronbach alpha  =  0.87 and 0.89, respectively), demonstrating statistically significant increases for the perceived quality of training, presentation comfort level, and the use of SBAR (P  =  .001). Conclusion SBAR was acceptable to first-year EM residents, with improvements in both the ability to apply SBAR to simulated case presentations and retention at a follow-up session. This format was feasible to use as a training method and was well received by our resident physicians. Future research will be useful in examining the general applicability of the SBAR model for interphysician communications in the clinical environment and residency training programs.

scholarly journals Emergency Medicine Resident Physicians’ Perceptions of Electronic Documentation and Workflow

2015 ◽  
Vol 06 (01) ◽  
pp. 27-41 ◽  
Author(s):  
P.M. Neri ◽  
L. Redden ◽  
S. Poole ◽  
C.N. Pozner ◽  
J. Horsky ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Mixed Methods ◽  
Comparative Method ◽  
Mixed Methods Study ◽  
Standardized Patient ◽  
Electronic Documentation ◽  
Patient Acuity ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians

SummaryObjective: To understand emergency department (ED) physicians’ use of electronic documentation in order to identify usability and workflow considerations for the design of future ED information system (EDIS) physician documentation modules.Methods: We invited emergency medicine resident physicians to participate in a mixed methods study using task analysis and qualitative interviews. Participants completed a simulated, standardized patient encounter in a medical simulation center while documenting in the test environment of a currently used EDIS. We recorded the time on task, type and sequence of tasks performed by the participants (including tasks performed in parallel). We then conducted semi-structured interviews with each participant. We analyzed these qualitative data using the constant comparative method to generate themes.Results: Eight resident physicians participated. The simulation session averaged 17 minutes and participants spent 11 minutes on average on tasks that included electronic documentation. Participants performed tasks in parallel, such as history taking and electronic documentation. Five of the 8 participants performed a similar workflow sequence during the first part of the session while the remaining three used different workflows. Three themes characterize electronic documentation: (1) physicians report that location and timing of documentation varies based on patient acuity and workload, (2) physicians report a need for features that support improved efficiency; and (3) physicians like viewing available patient data but struggle with integration of the EDIS with other information sources.Conclusion: We confirmed that physicians spend much of their time on documentation (65%) during an ED patient visit. Further, we found that resident physicians did not all use the same work-flow and approach even when presented with an identical standardized patient scenario. Future EHR design should consider these varied workflows while trying to optimize efficiency, such as improving integration of clinical data. These findings should be tested quantitatively in a larger, representative study.Citation: Neri PM, Redden L, Poole S, Pozner CN, Horsky J, Raja AS, Poon E, Schiff G, Landman A. Emergency medicine resident physicians’ perceptions of electronic documentation and workflow – a mixed methods study. Appl Clin Inf 2015; 6: 27–41http://dx.doi.org/10.4338/ACI-2014-08-RA-0065

Critical care recognition, management and communication skills during an emergency medicine clerkship

2008 ◽  
Vol 30 (9-10) ◽  
pp. e228-e238 ◽  
Author(s):  
Stefanie Ellison ◽  
Christine Sullivan ◽  
Jennifer Quaintance ◽  
Louise Arnold ◽  
Paula Godfrey
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Communication Skills ◽  
Medicine Clerkship
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