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Program Directors’ Perceptions of a Post-Match Competency Handover Between Medical School and Residency

Authors
  • Morgan, Helen K.1, 2
  • Schiller, Jocelyn3
  • Santen, Sally2, 4
  • Hammoud, Maya1, 2
  • Wancata, Lauren5
  • Mangrulkar, Rajesh2, 6
  • Ross, Paula2
  • Curran, Diana1
  • Sozener, Cemal B.4
  • Hughes, David5
  • 1 University of Michigan, Department of Obstetrics and Gynecology, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA , Ann Arbor (United States)
  • 2 University of Michigan Medical School, Department of Learning Health Sciences, 1111 E. Catherine St, Ann Arbor, MI, 48109, USA , Ann Arbor (United States)
  • 3 University of Michigan, Department of Pediatrics, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA , Ann Arbor (United States)
  • 4 University of Michigan, Department of Emergency Medicine, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA , Ann Arbor (United States)
  • 5 University of Michigan, Department of Surgery, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA , Ann Arbor (United States)
  • 6 University of Michigan, Department of Internal Medicine, 1500 E. Medical Center Dr, Ann Arbor, MI, 48109, USA , Ann Arbor (United States)
Type
Published Article
Journal
Medical Science Educator
Publisher
Springer Science and Business Media LLC
Publication Date
Mar 28, 2018
Volume
28
Issue
2
Pages
375–380
Identifiers
DOI: 10.1007/s40670-018-0560-3
Source
Springer Nature
Keywords
License
Yellow

Abstract

BackgroundAn educational handover at the completion of medical school that transmits competency information about individual learners has been proposed as a means for improving the sub-optimal communication between medical school and residency. The authors created an Accreditation Council for Graduate Medical Education (ACGME) milestones handover (MH) for graduating medical students entering surgery, pediatrics, and OBGYN residencies utilizing assessments primarily from residency preparatory courses. This pilot study investigated residency program directors’ (PDs) perspectives on the potential utility of the MH.MethodsThe authors mapped medical school assessment data to the specialty-specific ACGME level one milestones for 39 graduating medical students. The MH reported whether the student had met the level one milestone competencies. After the residency match, the MH was sent to PDs with an electronic survey asking about their perceptions of the handover.ResultsThe MHs reported level one competency determinations for most of the ACGME milestones (12 of 16 for surgery, 26 of 28 for OBGYN, and 18 of 21 milestones for pediatrics). Of the 38 surveyed PDs, 25 (66%) responded. PDs reported that the MH provided better level one competency information for new trainees compared to the Medical Student Performance Evaluation [Likert score 2.07 (SD 1.16) vs. 3.67 (SD 1.14), P < 0.05] however did not feel that it was superior in describing the attributes of a new intern [Likert score 3.32 (SD 0.95) vs. 3.68 (SD 0.95), P = 0.09].ConclusionsThis preliminary data suggests that the MH could be a potentially useful tool. Further work will need to expand these efforts to improve the generalizability and validity evidence of a competency-based educational handover between medical school and residency.

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