BACKGROUND: Interns are often required to dictate discharge summaries without formal training. We investigated the impact of a curriculum aimed at improving the quality (i.e., complete, organized, succinct, internally consistent, and readable) of interns' discharge summaries. METHOD:Fifty-nine medicine interns were randomized to a: (1) control group; (2) discharge summary curriculum; or (3) curriculum plus individualized feedback. Pre- and post-intervention, seven discharge summaries were graded using a 9-item instrument. T-tests, analysis of covariance, and effect sizes assessed group differences. RESULTS: There were multiple, significant within-group improvements for the intervention groups and between group differences post-intervention. The average effect size was large when the curriculum plus feedback group was compared to the control group (.70) and moderate when compared to the curriculum only group (.36). CONCLUSIONS: Interns who received instruction on discharge summary skills improved the quality and of their discharge summaries. Adding feedback to the curriculum provided more benefit.
RCT Entities:
BACKGROUND: Interns are often required to dictate discharge summaries without formal training. We investigated the impact of a curriculum aimed at improving the quality (i.e., complete, organized, succinct, internally consistent, and readable) of interns' discharge summaries. METHOD: Fifty-nine medicine interns were randomized to a: (1) control group; (2) discharge summary curriculum; or (3) curriculum plus individualized feedback. Pre- and post-intervention, seven discharge summaries were graded using a 9-item instrument. T-tests, analysis of covariance, and effect sizes assessed group differences. RESULTS: There were multiple, significant within-group improvements for the intervention groups and between group differences post-intervention. The average effect size was large when the curriculum plus feedback group was compared to the control group (.70) and moderate when compared to the curriculum only group (.36). CONCLUSIONS: Interns who received instruction on discharge summary skills improved the quality and of their discharge summaries. Adding feedback to the curriculum provided more benefit.
Authors: Jaideep S Talwalkar; Jason R Ouellette; Shawnette Alston; Gregory K Buller; Daniel Cottrell; Thomas Genese; Ali Vaezy Journal: J Grad Med Educ Date: 2012-03
Authors: Gunther Weitz; Hendrik Friederichs; Christoph Twesten; Hendrik Bonnemeier; Hendrik Lehnert; Peter Wellhöner Journal: Wien Med Wochenschr Date: 2015-03-03
Authors: Amy J H Kind; Carolyn T Thorpe; Justin A Sattin; Stacy E Walz; Maureen A Smith Journal: J Gen Intern Med Date: 2011-09-07 Impact factor: 5.128
Authors: Eric Young; Chad Stickrath; Monica McNulty; Aaron J Calderon; Elizabeth Chapman; Jed D Gonzalo; Ethan F Kuperman; Max Lopez; Christopher J Smith; Joseph R Sweigart; Cecelia N Theobald; Robert E Burke Journal: J Grad Med Educ Date: 2017-04