Dedicated Shift Wrap-up Time Does Not Improve Resident Sign-out Volume or Efficiency
Objectives: Sign-out (SO) is a challenge to the emergency physician. Some training programs have instituted overlapping 9-hour shifts. The residents see patients for eight hours, and have one hour of wrap-up time. This hour helps them complete patient care, leaving fewer patients to sign-out. We exa...
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doaj-2a25e97d728e4beeac4d99f798f0c5e02020-11-24T20:44:55ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182010-02-011113539Dedicated Shift Wrap-up Time Does Not Improve Resident Sign-out Volume or EfficiencyJeanmonod, Rebecca KBrook, ChristopherWinther, MarkPathak, SomaBoyd, MollyObjectives: Sign-out (SO) is a challenge to the emergency physician. Some training programs have instituted overlapping 9-hour shifts. The residents see patients for eight hours, and have one hour of wrap-up time. This hour helps them complete patient care, leaving fewer patients to sign-out. We examined whether this strategy impacts SO burden.Methods: This is a retrospective review of patients evaluated by emergency medicine (EM) residents working 9-hour (eight hours of patient care, one hour wrap-up time) and 12-hour shifts (12 hours patient care, no reserved time for wrap-up). Data were collected by reviewing the clinical tracker. A patient was assigned to the resident who initiated care and dictated the chart. SO was defined as any patient in the ED without disposition at change of shift. Patient turn-around-time (TAT) was also recorded.Results: One-hundred sixty-one postgraduate-year-one resident (PGY1), 264 postgraduate-year-two resident (PGY2), and 193 postgraduate-year-three resident (PGY3) shifts were included. PGY1s signed out 1.9 patients per 12-hour shift. PGY2s signed out 2.3 patients on 12-hour shifts and 1.8 patients on 9-hour shifts. PGY3s signed out 2.1 patients on 12-hour shifts and 2.0 patients on 9-hour shifts. When we controlled for patients seen per hour, SO burden was constant by class regardless of shift length, with PGY2s signing out 18% of patients seen compared to 15% for PGY3s. PGY1s signed out 18% of patients seen. TAT for patients seen by PGY1s and PGY2s was similar, at 189 and 187 minutes, respectively. TAT for patients seen by PGY3s was significantly less at 175 minutes.Conclusion: The additional hour devoted to wrapping up patients in the ED had no affect on SO burden. The SO burden represented a fixed percentage of the total number of patients seen by the residents. PGY3s sign-out a smaller percentage of patients seen compared to other classes, and have faster TATs. [West J Emerg Med. 2010; 11(1):35-39].http://escholarship.org/uc/item/3237n0sqSign-out, resident education, efficiencySign-outresident educationefficiency |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jeanmonod, Rebecca K Brook, Christopher Winther, Mark Pathak, Soma Boyd, Molly |
spellingShingle |
Jeanmonod, Rebecca K Brook, Christopher Winther, Mark Pathak, Soma Boyd, Molly Dedicated Shift Wrap-up Time Does Not Improve Resident Sign-out Volume or Efficiency Western Journal of Emergency Medicine Sign-out resident education efficiency |
author_facet |
Jeanmonod, Rebecca K Brook, Christopher Winther, Mark Pathak, Soma Boyd, Molly |
author_sort |
Jeanmonod, Rebecca K |
title |
Dedicated Shift Wrap-up Time Does Not Improve Resident Sign-out Volume or Efficiency |
title_short |
Dedicated Shift Wrap-up Time Does Not Improve Resident Sign-out Volume or Efficiency |
title_full |
Dedicated Shift Wrap-up Time Does Not Improve Resident Sign-out Volume or Efficiency |
title_fullStr |
Dedicated Shift Wrap-up Time Does Not Improve Resident Sign-out Volume or Efficiency |
title_full_unstemmed |
Dedicated Shift Wrap-up Time Does Not Improve Resident Sign-out Volume or Efficiency |
title_sort |
dedicated shift wrap-up time does not improve resident sign-out volume or efficiency |
publisher |
eScholarship Publishing, University of California |
series |
Western Journal of Emergency Medicine |
issn |
1936-900X 1936-9018 |
publishDate |
2010-02-01 |
description |
Objectives: Sign-out (SO) is a challenge to the emergency physician. Some training programs have instituted overlapping 9-hour shifts. The residents see patients for eight hours, and have one hour of wrap-up time. This hour helps them complete patient care, leaving fewer patients to sign-out. We examined whether this strategy impacts SO burden.Methods: This is a retrospective review of patients evaluated by emergency medicine (EM) residents working 9-hour (eight hours of patient care, one hour wrap-up time) and 12-hour shifts (12 hours patient care, no reserved time for wrap-up). Data were collected by reviewing the clinical tracker. A patient was assigned to the resident who initiated care and dictated the chart. SO was defined as any patient in the ED without disposition at change of shift. Patient turn-around-time (TAT) was also recorded.Results: One-hundred sixty-one postgraduate-year-one resident (PGY1), 264 postgraduate-year-two resident (PGY2), and 193 postgraduate-year-three resident (PGY3) shifts were included. PGY1s signed out 1.9 patients per 12-hour shift. PGY2s signed out 2.3 patients on 12-hour shifts and 1.8 patients on 9-hour shifts. PGY3s signed out 2.1 patients on 12-hour shifts and 2.0 patients on 9-hour shifts. When we controlled for patients seen per hour, SO burden was constant by class regardless of shift length, with PGY2s signing out 18% of patients seen compared to 15% for PGY3s. PGY1s signed out 18% of patients seen. TAT for patients seen by PGY1s and PGY2s was similar, at 189 and 187 minutes, respectively. TAT for patients seen by PGY3s was significantly less at 175 minutes.Conclusion: The additional hour devoted to wrapping up patients in the ED had no affect on SO burden. The SO burden represented a fixed percentage of the total number of patients seen by the residents. PGY3s sign-out a smaller percentage of patients seen compared to other classes, and have faster TATs. [West J Emerg Med. 2010; 11(1):35-39]. |
topic |
Sign-out resident education efficiency |
url |
http://escholarship.org/uc/item/3237n0sqSign-out, resident education, efficiency |
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