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A Paging Training Program for a Fourth-Year Internship Readiness Course.

Emily Cetrone1, Kathryn Mutter2, Kathryn Pedersen3

  • 1Resident, Department of Medicine, Brigham and Women's Hospital.

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|November 18, 2020
PubMed
Summary
This summary is machine-generated.

New medical interns practiced managing nursing pages through a mock paging program. While students found the simulation helpful, the program did not significantly improve their checklist scores over time.

Keywords:
Case-Based LearningClinical Skills Assessment/OSCESCommunication SkillsEmergency MedicineInternal MedicineInternship PreparationInterprofessional EducationLeadership Development/SkillsMock PagingNurse/Nurse PractitionerPhysicianSimulationTriage

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Area of Science:

  • Medical Education
  • Clinical Skills Training
  • Internship Transition

Background:

  • Medical interns face significant challenges transitioning from academic settings to clinical practice.
  • Managing nursing pages is a critical skill that requires effective triage and communication.
  • Medical schools are implementing transition courses to better prepare students for residency.

Purpose of the Study:

  • To evaluate the effectiveness of a mock paging program in preparing fourth-year medical students for internship responsibilities.
  • To assess improvements in medical student performance in managing nursing pages through simulation and feedback.

Main Methods:

  • A mock paging program was developed using a database of clinical scenarios.
  • Fourth-year medical students (n=40) participated in simulated phone calls with nurse evaluators over two weeks.
  • Student performance was assessed using checklists, with immediate feedback provided after each encounter.

Main Results:

  • Analysis of 216 phone calls from 36 students showed no statistically significant improvement in checklist scores.
  • High interrater reliability (Fleiss-Kappa = .76) was observed among the nurse evaluators.
  • Student feedback indicated the activity was perceived as helpful for preparation.

Conclusions:

  • The mock paging program provided valuable simulation and feedback opportunities for medical interns.
  • The program did not demonstrate measurable improvement in checklist scores over the study period.
  • Limitations include a small sample size and limited case variability, suggesting further research is needed.