Presenter Status
Resident/Psychology Intern
Abstract Type
Research
Primary Mentor
Nicholas A Clark, MD
Start Date
12-5-2025 11:30 AM
End Date
12-5-2025 1:30 PM
Presentation Type
Poster Presentation
Description
We aim to improve Children’s Mercy residents’ confidence and competence to independently triage admission phone calls, and to help residents develop a system to obtain information during a transport phone call through dedicated academic half days.
A needs assessment at the beginning of the 2024-25 academic year was completed to assess the need for triage education. Then, curriculum design, goals & objectives, educational strategies, and implementation of the half day were discussed with leaders in medical education, admission hub physicians, and hospital medicine. Pediatric residents of all training levels were divided into 5 cohorts of 10-15 participants, which rotated through a scheduled half day. The academic half day consisted of didactic content regarding the pre-admission process at our institution and sharing a templated triage form to organize and synthesize admission data. The lecture also included group discussions, simulated admission calls, and peer/faculty feedback. Pre- and post-surveys measured the effectiveness of the lecture at achieving our specific objectives with a 5-point scaled response (chart 1). Average pre- and post- scores were compared. Additional analysis was completed grouping ranked scores of 4s/5s as “favorable” and 1s/2s responses as “unfavorable”.
A needs assessment revealed that 71% of current residents did not feel comfortable taking admission triage calls independently (figure 1). Most residents identified lack of experience and lack of understanding of the admission process as main drivers of this discomfort.
After completing the academic half day, all cohorts demonstrated a significant improvement in confidence to independently triage an admit phone call, understanding of the admission process at our facility, and obtaining critical information in a structured way with a confidence interval of 95% (figure 2). When dividing results into favorable and unfavorable, there was a significant increase in favorable responses and a decrease in unfavorable responses among all participants (figure 3). There was no trend in pre-survey results that would suggest these results are due to natural accumulation of triage experience during the academic year alone. Additionally, all residents reported that they found the information useful, and 93% found the information very useful.
Dedicated didactic content and simulation sessions are a valuable use of resident time and resulted in improved confidence and understanding of the admission triage structure for pediatric residents.
Included in
Higher Education and Teaching Commons, Medical Education Commons, Pediatrics Commons, Science and Mathematics Education Commons
Academic Half Days Dedicated to Phone Triage Improves Resident Confidence to Independently Triage Calls
We aim to improve Children’s Mercy residents’ confidence and competence to independently triage admission phone calls, and to help residents develop a system to obtain information during a transport phone call through dedicated academic half days.
A needs assessment at the beginning of the 2024-25 academic year was completed to assess the need for triage education. Then, curriculum design, goals & objectives, educational strategies, and implementation of the half day were discussed with leaders in medical education, admission hub physicians, and hospital medicine. Pediatric residents of all training levels were divided into 5 cohorts of 10-15 participants, which rotated through a scheduled half day. The academic half day consisted of didactic content regarding the pre-admission process at our institution and sharing a templated triage form to organize and synthesize admission data. The lecture also included group discussions, simulated admission calls, and peer/faculty feedback. Pre- and post-surveys measured the effectiveness of the lecture at achieving our specific objectives with a 5-point scaled response (chart 1). Average pre- and post- scores were compared. Additional analysis was completed grouping ranked scores of 4s/5s as “favorable” and 1s/2s responses as “unfavorable”.
A needs assessment revealed that 71% of current residents did not feel comfortable taking admission triage calls independently (figure 1). Most residents identified lack of experience and lack of understanding of the admission process as main drivers of this discomfort.
After completing the academic half day, all cohorts demonstrated a significant improvement in confidence to independently triage an admit phone call, understanding of the admission process at our facility, and obtaining critical information in a structured way with a confidence interval of 95% (figure 2). When dividing results into favorable and unfavorable, there was a significant increase in favorable responses and a decrease in unfavorable responses among all participants (figure 3). There was no trend in pre-survey results that would suggest these results are due to natural accumulation of triage experience during the academic year alone. Additionally, all residents reported that they found the information useful, and 93% found the information very useful.
Dedicated didactic content and simulation sessions are a valuable use of resident time and resulted in improved confidence and understanding of the admission triage structure for pediatric residents.
