title: Fragmented care in the era of limited work hours: a plea for an explicit handover curriculum.
abstract: The current challenge in surgical residency education, preserving a sense of accountability in an era of limited work hours and multiple transitions of care, can be accomplished through the promotion of effective handovers. Approaches include increasing the transparency of handovers, enhancing the 'situational awareness' of individuals involved, and incorporating narratives and social interactions, and expanding common ground among professionals who collectively have responsibility for patient care. Done well, handovers can preserve the physician-patient relationship and provide a continuity bridge during a vulnerable time for patients.
authors.affiliation: Department of Surgery, University of Colorado School of Medicine, 12631 E. 17th Ave., C302, Aurora, CO 80045, USA. max.wohlauer@ucdenver.edu
authors.forename: Max
authors.initials: M
authors.lastname: Wohlauer
mesh_terms: D003479:Curriculum; D017598:Efficiency, Organizational; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000592:standards / Q000706:statistics & numerical data; D007400:Interprofessional Relations; D033262:Narration; D062209:Patient Handoff / Q000458:organization & administration* / Q000592:standards; D010561:Personnel Staffing and Scheduling / Q000592:standards* / Q000639:trends; D010817:Physician-Patient Relations; D011785:Quality Assurance, Health Care / Q000379:methods; D012941:Social Responsibility; D014481:United States