A novel curriculum to train physician assistant students how to write effective discharge summaries

Medical Education Online
Kahli ZietlowDavid Ming

Abstract

Background: Physician assistants (PAs) are an integral part of inpatient care teams, but many PAs do not receive formal education on authoring discharge summaries. High-quality discharge summaries can mitigate patient risk during transitions of care by improving inter-provider communication. Objective: To understand the current state of discharge summary education at our institution, and describe a novel curriculum to teach PA students to write effective discharge summaries. Design: Students completed a pre-survey to assess both knowledge and comfort levels regarding discharge summaries. They wrote a discharge summary and received feedback from two evaluators, an inpatient provider (IPP) familiar with the described patient and a simulated primary care provider (PCP). Students completed a post-survey reassessing knowledge and comfort. Results: Prior to instituting this curriculum, the majority of students (92.9%) reported rarely or never receiving feedback on discharge summaries. Eighty-four of 88 (95.5%) eligible students participated. There was discordance between IPP and simulated PCP feedback on their assessment of the quality of discharge summaries; simulated PCPs gave significantly lower global quality ratings (7.9 versus ...Continue Reading

References

Aug 17, 2012·BMC Medical Education·Kimberly LegaultJohn J You
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Mar 26, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Leora I HorwitzHarlan M Krumholz
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Citations

Jan 10, 2021·Journal of Evaluation in Clinical Practice·Christine Maria SchwarzGerald Sendlhofer

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