The document summarizes a study that used a handover OSCE (objective structured clinical examination) station to measure the handover skills of pediatric interns. Over three years, 126 interns participated in the handover OSCE, which assessed their performance on a 10-item scale. Results showed improvements over time, with interns scoring higher on domains like patient summary, action lists, and contingency planning. The study aims to continue data collection and analysis, with the goal of presenting results at a conference in June 2017.

1. ALERT Presentation:
A Handover OSCE to Measure Skills
in Transitions of Care
Joseph Lopreiato and Kathleen Wortmann
Uniformed Services University
INSPIRE @ IMSH 2017 – Orlando, FL, USA
International Network for Simulation-based Pediatric Innovation, Research and Education

2. • Conducting accurate transitions of care between
teams is a core competency.
• Measuring performance in this domain in the clinical
world is difficult and rarely done.
• There is a need to gather performance data on
trainees in this area in order to offer feedback.
International Network for Simulation-based Pediatric Innovation, Research and Education
Background

3. • Population: Pediatric Interns
• Intervention: Handover OSCE
• Control/Comparison: peers
• Outcome(s): Handover skills
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO / Research Question

4. • We introduced a handover station into our annual pediatric
intern clinical skills examination (CSE).
• 126 pediatric interns over three academic years from two
different pediatric training programs in the USA.
• Seven OSCE stations with five cases portrayed by SPs.
• The final station was a handover scenario.
• The assessor used a previously validated 10 item
observation tool to measure performance after all three cases
had been presented (IPASS SCO).
International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design

6. 3 Year Results
Domain
(Max possible score)
% of Students Who Scored
Correctly
Patient Summary 90%
Severity of Illness 55%
Action List 88%
Contingency Plan 90%
Avoiding miscommunications or transfer of
erroneous information 90%
Read back key information 67%
Encourage the receiver to ask questions to check for
understanding 79%

7. Comparative Results
Domain
(Max possible score)
2013
(Mean Score)
2016
(Mean Score)
T-Tests
Overall Handover (50) 72% 82% (p<0.05)
Handover Elements
Domain (25)
64% 77% (p<0.05)
HE+Prioritizing and
Engaging Domains (10)
51% 81% (p<0.05)
HE+PE+Omissions,
Miscommunication and
Tangential Domains (15)
81% 91% (p<0.05)

8. 1. What would make this data seem more
exciting?
2. Is it necessary to have a control group?
3. Can the results be generalized?
International Network for Simulation-based Pediatric Innovation, Research and Education
3 questions to improve study

9. • ALERT Presentation: Jan 2017
• IRB Submission - pending
• Recruitment / Data Collection: ongoing
• Data Analysis: Done
• Abstract Presentation: ASPE June 2017
• Manuscript Preparation: not yet
International Network for Simulation-based Pediatric Innovation, Research and Education
Timeline

10. At INSPIRE @ IMSH 2017:
In 2 months: peer review
International Network for Simulation-based Pediatric Innovation, Research and Education
Goals to accomplish

11. Joseph Lopreiato
Uniformed Services University
joseph.lopreiato@usuhs.edu
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information