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Related Experiment Video

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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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The e-handover: applications for surgical training.

Fiona Hand1,2, Aaron Stirling1, Patrick Felle2

  • 1Department of Surgery, University of Dublin, Trinity College, Tallaght Hospital, Dublin, Ireland.

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|June 17, 2016
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Summary

A standardized electronic handover can serve as a valuable tool to assess surgical trainees' diagnostic skills. This method showed improvement in accuracy over time and with increased workload.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Diagnostic Skills Assessment

Background:

  • Workplace-based assessments are mandatory in surgical training to address reduced practical experience.
  • Current assessments often focus on procedural competence using checklist-based methods.
  • This study explored the utility of electronic handover as a measure of diagnostic skills.

Purpose of the Study:

  • To evaluate if a standardized electronic handover can function as a surrogate marker for surgical trainees' diagnostic capabilities.
  • To investigate the potential of e-handover as an supplementary assessment tool.

Main Methods:

  • Prospective data collection of trainee-submitted diagnoses during on-call duties over two years.
  • Comparison of initial presumptive diagnoses with final discharge diagnoses from the hospital system.
  • Analysis of data from 17 surgical trainees and 936 patient admissions.

Main Results:

  • A statistically significant improvement in diagnostic accuracy was observed over a six-month period (p=0.047).
  • Higher diagnostic accuracy was noted in general surgical trainees compared to urology trainees (p=0.046).
  • Increased workload correlated with enhanced diagnostic accuracy (p=0.042).

Conclusions:

  • Standardized electronic handover shows promise as an adjunct to existing surgical training assessment methods.
  • E-handover may offer a valuable mechanism for providing constructive feedback to trainees.
  • The study suggests e-handover can effectively serve as a surrogate marker for diagnostic skill development.