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18-08-2020 | Original Article | Uitgave 5/2020 Open Access

Perspectives on Medical Education 5/2020

Learner handover: Perspectives and recommendations from the front-line

Tijdschrift:
Perspectives on Medical Education > Uitgave 5/2020
Auteurs:
Stephanie T. Gumuchian, Nicole E. Pal, Meredith Young, Deborah Danoff, Laurie H. Plotnick, Beth-Ann Cummings, Carlos Gomez-Garibello, Valérie Dory
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Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s40037-020-00601-4) contains supplementary material, which is available to authorized users.
Valérie Dory: At the time of the study: Department of Medicine and Centre for Medical Education, McGill University, Montréal, Québec, Canada, and Institute of Health and Society and Academic Centre for General Practice, Faculty of Medicine, Université catholique de Louvain, Belgium.

Abstract

Introduction

Current medical education models increasingly rely on longitudinal assessments to document learner progress over time. This longitudinal focus has re-kindled discussion regarding learner handover—where assessments are shared across supervisors, rotations, and educational phases, to support learner growth and ease transitions. The authors explored the opinions of, experiences with, and recommendations for successful implementation of learner handover among clinical supervisors.

Methods

Clinical supervisors from five postgraduate medical education programs at one institution completed an online questionnaire exploring their views regarding learner handover, specifically: potential benefits, risks, and suggestions for implementation. Survey items included open-ended and numerical responses. The authors used an inductive content analysis approach to analyze the open-ended questionnaire responses, and descriptive and correlational analyses for numerical data.

Results

Seventy-two participants completed the questionnaire. Their perspectives varied widely. Suggested benefits of learner handover included tailored learning, improved assessments, and enhanced patient safety. The main reported risk was the potential for learner handover to bias supervisors’ perceptions of learners, thereby affecting the validity of future assessments and influencing the learner’s educational opportunities and well-being. Participants’ suggestions for implementation focused on who should be involved, when and for whom it should occur, and the content that should be shared.

Discussion

The diverse opinions of, and recommendations for, learner handover highlight the necessity for handover to maximize learning potential while minimizing potential harms. Supervisors’ suggestions for handover implementation reveal tensions between assessment-of and for-learning.
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