title: TRACER: an 'eye-opener' to the patient experience across the transition of care in an internal medicine resident program.
abstract: BACKGROUND
  A safe patient transition requires a complex set of physician skills within the interprofessional practice.
  
  
  OBJECTIVE
  To evaluate a rotation which applies self-reflection and workplace learning in a TRAnsition of CarE Rotation (TRACER) for internal medicine (IM) residents. TRACER is a 2-week required IM resident rotation where trainees join a ward team as a quality officer and follow patients into postacute care.
  
  
  METHODS
  In 2010, residents participated in semistructured, one-on-one interviews as part of ongoing program evaluation. They were asked what they had learned on TRACER, the year prior, and how they used those skills in their practice. Using transcripts, the authors reviewed and coded each transcript to develop themes.
  
  
  RESULTS
  Five themes emerged from a qualitative, grounded theory analysis: seeing things from the other side, the 'ah ha' moment of fragmented care, team collaboration including understanding nursing scope of practice in different settings, patient understanding, and passing the learning on. TRACER gives residents a moment to breathe and open their eyes to the interprofessional practice setting and the patient's experience of care in transition.
  
  
  CONCLUSIONS
  Residents learn about transitions of care through self-reflection. This learning is sustained over time and is valued enough to teach to their junior colleagues.
authors.affiliation: Baystate Medical Center, Tufts University School of Medicine, Springfield, MA, USA; Lauren.meade@bhs.org.
authors.forename: Lauren B
authors.initials: LB
authors.lastname: Meade
authors.affiliation: Remedy Partners, Inc, Yale New Haven Hospital, New Haven, CT, USA.
authors.forename: Susana L
authors.initials: SL
authors.lastname: Hall
authors.affiliation: Baystate Medical Center, Tufts University School of Medicine, Springfield, MA, USA.
authors.forename: Reva W
authors.initials: RW
authors.lastname: Kleppel
authors.affiliation: Baystate Medical Center, Tufts University School of Medicine, Springfield, MA, USA.
authors.forename: Kevin T
authors.initials: KT
authors.lastname: Hinchey
keywords: education; grounded theory; interprofessional practice; professional identity; reflection; transition of care
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