Telephone referral education, and evidence of retention and transfer after six-months

• Main Authors: Marshall Stuart D, Harrison Julia C, Flanagan Brendan
• Format: Article
• Language: English
• Published: BMC 2012-06-01
• Series: BMC Medical Education
• Online Access: http://www.biomedcentral.com/1472-6920/12/38

<p>Abstract</p> <p>Background</p> <p>Effective communication between clinicians is essential for safe, efficient healthcare. We undertook a study to determine the longer-term effectiveness of an education session employing a structured method to teach referral-making skills to medical students.</p> <p>Methods</p> <p>All final year medical students received a forty-five minute education intervention consisting: discussion of effective telephone referrals; video viewing and critique; explanation, demonstration and practice using ISBAR; provision of a memory aid for use in their clinical work. Audio recordings were taken during a subsequent standardised simulation scenario and blindly assessed using a validated scoring system. Recordings were taken immediately before (control), several hours after (intervention), and at approximately six months after the education. Retention of the acronym and self-reports of transfer to the clinical environment were measured with a questionnaire at eight months.</p> <p>Results</p> <p>Referral clarity at six months was significantly improved from pre-intervention, and referral content showed a trend towards improvement. Both measures were lower than the immediate post-education test. The ISBAR acronym was remembered by 59.4% (n = 95/160) and used by the vast majority of the respondents who had made a clinical telephone referral (n = 135/143; 94.4%).</p> <p>Conclusions</p> <p>A brief education session improved telephone communication in a simulated environment above baseline for over six months, achieved functional retention of the acronym over a seven to eight month period and resulted in self reports of transfer of the learning into practice.</p>