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Discharge as a Supervised Management Moment: The SAFE-DC Communication Tool.

Sydney Katz1, Justin J Choi1, Laura Greisman1

  • 1Division of General Internal Medicine, Weill Cornell Medical College, New York, NY, United States.

Academic Medicine : Journal of the Association of American Medical Colleges
|February 25, 2026
PubMed
Summary
This summary is machine-generated.

Hospital discharge planning is crucial for internal medicine trainees. The SAFE-DC tool aids attending physicians in supervising trainees, ensuring comprehensive discharge plans and providing structured feedback.

Keywords:
communication toolhospital dischargeinternal medicinemanagement reasoningmedical education

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Area of Science:

  • Medical Education
  • Internal Medicine
  • Patient Safety

Background:

  • Hospital discharge is a complex process with potential for errors.
  • Current educational strategies focus on collaboration, communication, and assessment, but neglect discharge plan formulation.
  • Discharge plan formulation is an undertaught competency for internal medicine trainees.

Purpose of the Study:

  • To introduce the SAFE-DC communication tool for improving discharge plan education.
  • To provide a structured method for attending physicians to supervise and give feedback on trainee discharge planning.

Main Methods:

  • Development of the SAFE-DC (Summary, Active Issues, Follow-Up, Exit, Drugs and Devices, Counseling) tool.
  • Implementation of SAFE-DC as an oral presentation format during attending rounds.
  • Use of the tool by attending physicians to guide trainees and provide feedback.

Main Results:

  • The SAFE-DC tool facilitates supervision of trainee management reasoning.
  • It ensures all necessary discharge tasks are completed.
  • It enables structured, real-time feedback on discharge management plans.

Conclusions:

  • The SAFE-DC tool addresses a critical gap in internal medicine discharge education.
  • It empowers attending physicians to effectively teach and assess discharge planning skills.
  • This approach enhances the quality and safety of hospital discharge for patients.