Improving Resident Feedback on Diagnostic Reasoning after Handovers: The LOOP Project

• DOI: 10.12788/jhm.3262
• Publication Date: 2019-08-26T09:49:56Z
• Authors: Kathleen P Lane; Catherine Chia; Juan N Lessing; Julia Limes; Benji Mathews; Julie Schaefer; L Barry Seltz; Grant Turner; Brittany Wheeler; David Wooldridge; Andrew PJ Olson
• Keywords: Electronic health record

Appropriate calibration of clinical reasoning is critical to becoming a competent physician. Lack follow‐up after transitions care can present barrier calibration. This study aimed implement structured feedback about for residents performing overnight admissions, measure the frequency diagnostic changes, and determine how impacts learners' self‐efficacy. Trainees shared via form within their electronic health record's secure messaging system. Forms were analyzed changes. Surveys evaluated comfort with sharing feedback, self‐efficacy in identifying mitigating cognitive biases' negative effects, perceived educational value night admissions—all which improved implementation. Analysis 544 forms revealed 43.7% change rate spanning transition from night‐shift day‐shift providers; changes made, 29% (12.7% cases overall) major suggests that on admissions promising approach improve residents' calibration, particularly given often occur.