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CompletedNCT02217241Updated Aug 15, 2014

Effect of Hand-off Skills Training for Students During the Medicine Clerkship

An interventional study of Handoff Workshop in Patient Handoff, sponsored by George Washington University. Completed at 1 site in United States. Per ClinicalTrials.gov, last updated 2014-08-15.

Sponsored by George Washington University · Not applicable and Interventional

Phase
Not applicable
Study type
Interventional
Enrollment
95
Allocation
Randomized
Sex
All
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Study summary

The purpose of this study is to assess the effectiveness of an educational intervention on handoffs implemented during the third year of medical school. It also assesses whether these skills are maintained over time into their fourth year of training and whether there is transfer from the simulated setting into the clinical environment.

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Conditions studied

  • Patient Handoff
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In context

Lead sponsor

George Washington University is the lead sponsor of 187 studies on the registry; 34 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 11 (85%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Third Year Medicine Clerks

Exclusion criteria

Exclusion Criteria:

  • None
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Study design

Phase
Not applicable
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
95 participants (actual)

Study arms

  • Experimental
    Intervention

    Students in the intervention group participated in a one-hour interactive, small-group handoff workshop facilitated by a study investigator. The workshop focused on the importance of specific handoff skills to patient safety.

    Other: Handoff Workshop

  • No intervention
    Control

Interventions

  • OtherHandoff Workshop
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What researchers measure

Primary outcomes

  1. Evaluate workshop effectiveness of students undergoing the intervention, rated before and after the workshop utilizing standardized cases and a validated Handoff Rating Scale.

    Time frame: up to 45 minutes post-intervention

Other outcomes

  1. Assess durability of the training by rating intervention and control group students on a third standardized case during their fourth year AI on internal medicine.

    Time frame: up to 12 months after intervention

  2. Assess the transfer of handoff skills into the clinical setting by observing AI students in both the intervention and control groups providing real-time handoffs.

    Time frame: Up to 12 months after the intervention

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Study locations

1 site
  • The George Washington University School of Medicine; The George Washington University Hospital
    Washington, District of Columbia 20037, United States
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References and documents

Publications

  • Vidyarthi AR, Arora V, Schnipper JL, Wall SD, Wachter RM. Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. J Hosp Med. 2006 Jul;1(4):257-66. doi: 10.1002/jhm.103. PubMed 17219508 ↗
  • Laine C, Goldman L, Soukup JR, Hayes JG. The impact of a regulation restricting medical house staff working hours on the quality of patient care. JAMA. 1993 Jan 20;269(3):374-8. PubMed 8418344 ↗
  • Lofgren RP, Gottlieb D, Williams RA, Rich EC. Post-call transfer of resident responsibility: its effect on patient care. J Gen Intern Med. 1990 Nov-Dec;5(6):501-5. doi: 10.1007/BF02600880. PubMed 2266432 ↗
  • Horwitz LI, Krumholz HM, Green ML, Huot SJ. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006 Jun 12;166(11):1173-7. doi: 10.1001/archinte.166.11.1173. PubMed 16772243 ↗
  • Arora VM, Eastment MC, Bethea ED, Farnan JM, Friedman ES. Participation and experience of third-year medical students in handoffs: time to sign out? J Gen Intern Med. 2013 Aug;28(8):994-8. doi: 10.1007/s11606-012-2297-9. PubMed 23595921 ↗
  • Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review. Med Educ. 2011 Nov;45(11):1081-9. doi: 10.1111/j.1365-2923.2011.04049.x. Epub 2011 Sep 20. PubMed 21933243 ↗
  • Farnan JM, Paro JA, Rodriguez RM, Reddy ST, Horwitz LI, Johnson JK, Arora VM. Hand-off education and evaluation: piloting the observed simulated hand-off experience (OSHE). J Gen Intern Med. 2010 Feb;25(2):129-34. doi: 10.1007/s11606-009-1170-y. PubMed 19924489 ↗
  • Horwitz LI, Moin T, Green ML. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007 Oct;22(10):1470-4. doi: 10.1007/s11606-007-0331-0. Epub 2007 Aug 3. PubMed 17674110 ↗
  • Chu ES, Reid M, Schulz T, Burden M, Mancini D, Ambardekar AV, Keniston A, Albert RK. A structured handoff program for interns. Acad Med. 2009 Mar;84(3):347-52. doi: 10.1097/ACM.0b013e3181970829. PubMed 19240442 ↗
  • Gakhar B, Spencer AL. Using direct observation, formal evaluation, and an interactive curriculum to improve the sign-out practices of internal medicine interns. Acad Med. 2010 Jul;85(7):1182-8. doi: 10.1097/ACM.0b013e3181da8370. PubMed 20375830 ↗
  • Klamen DL, Reynolds KL, Yale B, Aiello M. Students learning handovers in a simulated in-patient unit. Med Educ. 2009 Nov;43(11):1097-8. doi: 10.1111/j.1365-2923.2009.03488.x. Epub 2009 Oct 3. No abstract available. PubMed 19799733 ↗
  • Darbyshire D, Gordon M, Baker P. Teaching handover of care to medical students. Clin Teach. 2013 Feb;10(1):32-7. doi: 10.1111/j.1743-498X.2012.00610.x. PubMed 23294741 ↗
  • Chu ES, Reid M, Burden M, Mancini D, Schulz T, Keniston A, Sarcone E, Albert RK. Effectiveness of a course designed to teach handoffs to medical students. J Hosp Med. 2010 Jul-Aug;5(6):344-8. doi: 10.1002/jhm.633. PubMed 20803673 ↗
  • Starmer AJ, Sectish TC, Simon DW, Keohane C, McSweeney ME, Chung EY, Yoon CS, Lipsitz SR, Wassner AJ, Harper MB, Landrigan CP. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. JAMA. 2013 Dec 4;310(21):2262-70. doi: 10.1001/jama.2013.281961. PubMed 24302089 ↗
  • Curtis JR, Back AL, Ford DW, Downey L, Shannon SE, Doorenbos AZ, Kross EK, Reinke LF, Feemster LC, Edlund B, Arnold RW, O'Connor K, Engelberg RA. Effect of communication skills training for residents and nurse practitioners on quality of communication with patients with serious illness: a randomized trial. JAMA. 2013 Dec 4;310(21):2271-81. doi: 10.1001/jama.2013.282081. Erratum In: JAMA. 2014 Apr 2;311(13):1360. PubMed 24302090 ↗
  • Reyes JA, Greenberg L, Amdur R, Gehring J, Lesky LG. Effect of handoff skills training for students during the medicine clerkship: a quasi-randomized study. Adv Health Sci Educ Theory Pract. 2016 Mar;21(1):163-73. doi: 10.1007/s10459-015-9621-1. Epub 2015 Jul 15. PubMed 26174046 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 15, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02217241
Lead sponsor
George Washington University
Responsible party
Juan Reyes (Assistant Professor of Medicine, George Washington University) — Principal investigator
First posted
Aug 15, 2014
Start date
Jan 2012
Primary completion
Mar 2013
Last update
Aug 15, 2014

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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