A Curriculum to Improve Pediatric Residents' Telephone Triage Skills

Introduction Telephone triage systems are frequently used due to their success in decreasing emergency department utilization, reduction of health care costs, and high levels of satisfaction among patients and providers. Despite phone triage's prevalence, few residency programs have designated...

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Autores principales:	Lauren T. Roth, Mariellen Lane, Suzanne Friedman
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Phone Triage Resident Education Pediatrics Case-Based Learning Clinical/Procedural Skills Training Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/802adac4cb334980827b8e50dc47ddf7
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spelling	oai:doaj.org-article:802adac4cb334980827b8e50dc47ddf72021-11-19T14:49:38ZA Curriculum to Improve Pediatric Residents' Telephone Triage Skills10.15766/mep_2374-8265.109932374-8265https://doaj.org/article/802adac4cb334980827b8e50dc47ddf72020-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10993https://doaj.org/toc/2374-8265Introduction Telephone triage systems are frequently used due to their success in decreasing emergency department utilization, reduction of health care costs, and high levels of satisfaction among patients and providers. Despite phone triage's prevalence, few residency programs have designated curricula for residents to learn this vital skill. Methods We designed a phone triage curriculum initially piloted with senior residents at one of our continuity clinics. The curriculum consisted of a didactic session, a just-in-time simulation training session, and an experiential component of being on call during the ambulatory rotation. Retrospective pre-post self-assessments evaluated resident perceptions of their skills in taking histories and triaging care over the phone in addition to obtaining qualitative feedback from faculty and residents immediately after the curriculum and 1–2 years postgraduation. Results Of 11 eligible residents, 10 (91%) chose to participate in the pilot curriculum. Residents reported that their skills in history taking over the phone improved from 20% to 90% and their ability to triage patients over the phone improved from 0% to 80%. This led to a quality improvement initiative to increase patient calls and has continued for 5 years, with continued positive feedback from residents and attendings. Discussion Phone triage skills are a necessity for pediatric providers, but few residency programs have training curricula in place. Through an experience-based phone triage program, residents significantly improved their self-reported skills at history taking and triaging. Similar curricula could easily be adopted at other institutions.Lauren T. RothMariellen LaneSuzanne FriedmanAssociation of American Medical CollegesarticlePhone TriageResident EducationPediatricsCase-Based LearningClinical/Procedural Skills TrainingMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Phone Triage Resident Education Pediatrics Case-Based Learning Clinical/Procedural Skills Training Medicine (General) R5-920 Education L
spellingShingle	Phone Triage Resident Education Pediatrics Case-Based Learning Clinical/Procedural Skills Training Medicine (General) R5-920 Education L Lauren T. Roth Mariellen Lane Suzanne Friedman A Curriculum to Improve Pediatric Residents' Telephone Triage Skills
description	Introduction Telephone triage systems are frequently used due to their success in decreasing emergency department utilization, reduction of health care costs, and high levels of satisfaction among patients and providers. Despite phone triage's prevalence, few residency programs have designated curricula for residents to learn this vital skill. Methods We designed a phone triage curriculum initially piloted with senior residents at one of our continuity clinics. The curriculum consisted of a didactic session, a just-in-time simulation training session, and an experiential component of being on call during the ambulatory rotation. Retrospective pre-post self-assessments evaluated resident perceptions of their skills in taking histories and triaging care over the phone in addition to obtaining qualitative feedback from faculty and residents immediately after the curriculum and 1–2 years postgraduation. Results Of 11 eligible residents, 10 (91%) chose to participate in the pilot curriculum. Residents reported that their skills in history taking over the phone improved from 20% to 90% and their ability to triage patients over the phone improved from 0% to 80%. This led to a quality improvement initiative to increase patient calls and has continued for 5 years, with continued positive feedback from residents and attendings. Discussion Phone triage skills are a necessity for pediatric providers, but few residency programs have training curricula in place. Through an experience-based phone triage program, residents significantly improved their self-reported skills at history taking and triaging. Similar curricula could easily be adopted at other institutions.
format	article
author	Lauren T. Roth Mariellen Lane Suzanne Friedman
author_facet	Lauren T. Roth Mariellen Lane Suzanne Friedman
author_sort	Lauren T. Roth
title	A Curriculum to Improve Pediatric Residents' Telephone Triage Skills
title_short	A Curriculum to Improve Pediatric Residents' Telephone Triage Skills
title_full	A Curriculum to Improve Pediatric Residents' Telephone Triage Skills
title_fullStr	A Curriculum to Improve Pediatric Residents' Telephone Triage Skills
title_full_unstemmed	A Curriculum to Improve Pediatric Residents' Telephone Triage Skills
title_sort	curriculum to improve pediatric residents' telephone triage skills
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/802adac4cb334980827b8e50dc47ddf7
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A Curriculum to Improve Pediatric Residents' Telephone Triage Skills

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