An Interactive Mock Paging Curriculum to Prepare New Internal Medicine Interns for Inpatient Wards

Introduction The July effect refers to an increase in adverse outcomes during periods of physician trainee turnover in teaching hospitals. We created an interactive resident-led curriculum to train new internal medicine interns for routine encounters on inpatient wards by role-playing through mock p...

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Main Authors: Rima Patel, Laura K. Snydman
Format: Article
Language:English
Published: Association of American Medical Colleges 2021-01-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.11082
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author Rima Patel
Laura K. Snydman
author_facet Rima Patel
Laura K. Snydman
author_sort Rima Patel
collection DOAJ
description Introduction The July effect refers to an increase in adverse outcomes during periods of physician trainee turnover in teaching hospitals. We created an interactive resident-led curriculum to train new internal medicine interns for routine encounters on inpatient wards by role-playing through mock paging scenarios and focusing on practical information relevant to intern year. Methods A formal assessment of the academic year 2018 intern boot camp curriculum revealed that interns preferred sessions that involved active learning strategies and covered common issues. In the first week of academic year 2019, interns participated in two 1-hour small-group sessions involving mock paging scenarios. Interns were divided into small groups with one facilitator who was a senior medicine resident. Within these groups, facilitators acted as the nurse and provided pages. Interns took turns answering these mock pages based on a sign-out of patients. The facilitator emphasized desired learner actions and teaching points using a provided guide. Results Twenty interns participated in the curriculum. Interns rated the curriculum highly and felt that the sessions improved their knowledge, comfort, and skills in managing routine inpatient encounters. On a 2-week follow-up knowledge test to determine if they retained the information from the curriculum, interns scored an average of 85% (response rate: 60%, N = 12), indicating that they could apply the knowledge/skills learned to new scenarios. Discussion This curriculum prepares medicine interns to manage common inpatient issues at the beginning of their residency. After completing the curriculum, interns reported increased confidence in handling these issues.
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spelling doaj.art-38677ec1514a4b5a8c88d360c784d3342022-12-21T21:56:04ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652021-01-011710.15766/mep_2374-8265.11082An Interactive Mock Paging Curriculum to Prepare New Internal Medicine Interns for Inpatient WardsRima Patel0Laura K. Snydman1Resident Physician, Department of Medicine, Tufts Medical CenterAssociate Professor, Department of Medicine, Tufts Medical CenterIntroduction The July effect refers to an increase in adverse outcomes during periods of physician trainee turnover in teaching hospitals. We created an interactive resident-led curriculum to train new internal medicine interns for routine encounters on inpatient wards by role-playing through mock paging scenarios and focusing on practical information relevant to intern year. Methods A formal assessment of the academic year 2018 intern boot camp curriculum revealed that interns preferred sessions that involved active learning strategies and covered common issues. In the first week of academic year 2019, interns participated in two 1-hour small-group sessions involving mock paging scenarios. Interns were divided into small groups with one facilitator who was a senior medicine resident. Within these groups, facilitators acted as the nurse and provided pages. Interns took turns answering these mock pages based on a sign-out of patients. The facilitator emphasized desired learner actions and teaching points using a provided guide. Results Twenty interns participated in the curriculum. Interns rated the curriculum highly and felt that the sessions improved their knowledge, comfort, and skills in managing routine inpatient encounters. On a 2-week follow-up knowledge test to determine if they retained the information from the curriculum, interns scored an average of 85% (response rate: 60%, N = 12), indicating that they could apply the knowledge/skills learned to new scenarios. Discussion This curriculum prepares medicine interns to manage common inpatient issues at the beginning of their residency. After completing the curriculum, interns reported increased confidence in handling these issues.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11082Internal MedicineCurriculumSmall-Group LearningCurriculum DevelopmentHospital MedicineCase-Based Learning
spellingShingle Rima Patel
Laura K. Snydman
An Interactive Mock Paging Curriculum to Prepare New Internal Medicine Interns for Inpatient Wards
MedEdPORTAL
Internal Medicine
Curriculum
Small-Group Learning
Curriculum Development
Hospital Medicine
Case-Based Learning
title An Interactive Mock Paging Curriculum to Prepare New Internal Medicine Interns for Inpatient Wards
title_full An Interactive Mock Paging Curriculum to Prepare New Internal Medicine Interns for Inpatient Wards
title_fullStr An Interactive Mock Paging Curriculum to Prepare New Internal Medicine Interns for Inpatient Wards
title_full_unstemmed An Interactive Mock Paging Curriculum to Prepare New Internal Medicine Interns for Inpatient Wards
title_short An Interactive Mock Paging Curriculum to Prepare New Internal Medicine Interns for Inpatient Wards
title_sort interactive mock paging curriculum to prepare new internal medicine interns for inpatient wards
topic Internal Medicine
Curriculum
Small-Group Learning
Curriculum Development
Hospital Medicine
Case-Based Learning
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.11082
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