KU Department of Internal Medicine, University of Kansas Health System

Virtual Adaptation of Resident IPASS Handoff Training Session

Michael Rouse, DO, Abebe Abebe, MD, David Naylor, MD

 
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POSTER - #KU0021

Virtual Adaptation of Resident IPASS Handoff Training Session

Michael Rouse, DO, Abebe Abebe, MD, David Naylor, MD
KU Department of Internal Medicine, University of Kansas Health System

Introduction
Handoff training is required for residency and use of IPASS is associated with reduction in errors. This training for KU Internal Medicine residency is traditionally done through in-person direct observation by faculty physicians. Due to in-person restrictions related to SARS-CoV-2, we sought to adapt the session to a virtual platform.

Materials and methods
Pre-sessions, residents were surveyed about IPASS familiarity, prior handoff training, and confidence in delivering a handoff.
Post-session, residents and faculty were surveyed about the overall session with additional faculty questions regarding use of the virtual platform as compared to in-person sessions.
(View poster)

Faculty evaluation of the virtual platform: 27% rated as excellent, 45% felt it was good, and the remaining 27% felt it was satisfactory. In comparing in-person to virtual, 55% felt the virtual platform was neither better nor worse (Figure 1). Most faculty, If unable to meet in-person for future sessions, agreed with repeating the use of the virtual platform (Figure 2). However, if able to meet in-person, 64% favored this platform as opposed to a virtual setting. 91% of faculty reported prior handoff training experience before the virtual session.

Conclusion
The virtual session was successful in providing in introducing IPASS concepts to residents.
The virtual platform was successful in providing direct observation and feedback of resident handoffs.
Residents reported an increase in confidence in ability to provide a patient handoff after the session.
Both residents and faculty recommended ongoing training on this topic.
Overall faculty reported a positive experience when comparing to in-person sessions.
Faculty recommended ongoing use of the virtual platform in the event in-person sessions cannot take place however most recommended in-person over virtual in the event the former can resume.

Acknowledgments
Thank you to the Department of Internal Medicine residents, faulty physicians, and program coordinators for their time in developing the virtual session. Thank you to the University of Kansas Health System for providing access to virtual platforms.

References
Core EPAs for Entering Residency Pilot Program. Toolkits for the 13 Core Entrustable Professional Activities for Entering Residency. 2017.
Riesenberg LA LJ, Massucci JL, et al. Residents' and attending physicians' handoffs: a systematic review of the literature. Acad Med. 2009;84(12):1775-1787.
Starmer AJ SN, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. N Engl J Med. 2014;371(19):1803-1812.
Parent B LL, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the Intensive Care Unit: A Stepped-Wedge Cluster Randomized
Clinical Trial. JAMA Surg. 2018;153(5):464-470.
Arbuckle MR RC, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-138.

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