Resident Shift Handoff Strategies in US Internal Medicine Residency Programs | Medical Education and Training | JAMA | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Arora  V, Johnson  J.  A model for building a standardized hand-off protocol.  Jt Comm J Qual Patient Saf. 2006;32(11):646-655.PubMedGoogle ScholarCrossref
Nasca  TJ, Day  SH, Amis  ES  Jr; ACGME Duty Hour Task Force.  The new recommendations on duty hours from the ACGME Task Force.  N Engl J Med. 2010;363(2):e3.PubMedGoogle ScholarCrossref
Robertson  ER, Morgan  L, Bird  S, Catchpole  K, McCulloch  P.  Interventions employed to improve intrahospital handover: a systematic review.  BMJ Qual Saf. 2014;23(7):600-607.PubMedGoogle ScholarCrossref
Riesenberg  LA, Leitzsch  J, Massucci  JL,  et al.  Residents’ and attending physicians’ handoffs: a systematic review of the literature.  Acad Med. 2009;84(12):1775-1787.PubMedGoogle ScholarCrossref
Patterson  ES, Wears  RL.  Patient handoffs: standardized and reliable measurement tools remain elusive.  Jt Comm J Qual Patient Saf. 2010;36(2):52-61.PubMedGoogle ScholarCrossref
Starmer  AJ, Spector  ND, Srivastava  R,  et al; I-PASS Study Group.  Changes in medical errors after implementation of a handoff program.  N Engl J Med. 2014;371(19):1803-1812.PubMedGoogle ScholarCrossref
Research Letter
December 6, 2016

Resident Shift Handoff Strategies in US Internal Medicine Residency Programs

Author Affiliations
  • 1Division of Hospital Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, California
  • 2Office of Academic Affairs, Memorial Healthcare System, Fort Lauderdale, Florida
  • 3Section of General Internal Medicine, University of Chicago Medical Center, Chicago, Illinois
  • 4Department of Medicine, University of Pennsylvania, Philadelphia
  • 5Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York
  • 6Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College, New York, New York
JAMA. 2016;316(21):2273-2275. doi:10.1001/jama.2016.17786

National organizations such as the Accreditation Council for Graduate Medical Education, Agency for Healthcare Research and Quality, and Joint Commission have recommended specific strategies to improve resident handoffs, such as dedicated time and space to perform handoffs, standardized templates, and supervision by senior physicians.1,2 How these best-practice recommendations are implemented across programs is unknown.

Program directors are expected to standardize and improve handoffs within their institutions’ residency programs. Their perspective on strategies and satisfaction with this process can provide insight into improving handoffs. We describe implementation of recommended handoff strategies in a US cohort of internal medicine residency programs and association with program director satisfaction.