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Did you Check your Email?: Can Daily Communication in a Residency Program be Improved?
ACADEMIC PEDIATRICS compared to within (48% vs. 88%), despite agreeing that other discipline input is very (83.7%) or somewhat (13.3%) important. Only 51.5% perceived quality of interdisciplinary communication as anything above adequate. We brainstormed ways to bridge these communication gaps and disseminated techniques for enhancing interprofessional interactions. RESULTS: A resident workshop reviewed strategies for approaching difficult conversations between HCP. We are sharing similar education via hospital-wide newsletter while working to incorporate these communication techniques into daily nursing huddles. We have successfully advocated for resident swipe-access to nurse lounges as well as clear-paneled doors on provider workrooms to promote shared environments. Efforts to obtain hand-held phones for provider teams are anticipated to increase communication and to improve the coordination of entire-team bedside rounds. Resident access to an EHR nursing documentation tool is also improving collaborative patient-care. CONCLUSIONS: With practical interventions, we can strengthen the culture shift toward team-oriented care. A uniform team approach is becoming increasingly needed, and formal collaboratives promoting interprofessionalism make this a realistic possibility. 115. DID YOU CHECK YOUR EMAIL?: CAN DAILY COMMUNICATION IN A RESIDENCY PROGRAM BE IMPROVED? Thomas J. Duggan, MD, Keyur Mehta, MD, Hussam Alharash, MD, Marguerite Orsi-Canter, MD, Henry Schaeffer, MD, SUNY Health Science Center at Brooklyn, Brooklyn, NY BACKGROUND: Pediatrics residency programs throughout the United States are comprised of many residents, fellows, attendings and staff. Using a combination of paging, texting, phones, voicemails, and e-mails to communicate on a daily basis, few programs have a unified approach. This fractured, opaque system often creates a chaotic communication environment that stifles efficiency. Some hospitals, at cost, have implemented hospital-wide communication platforms to unify communication. Slack is a rising proprietary communication platform that is used in the nonmedical industry to facilitate daily, real-time communication, among employees. OBJECTIVE: To implement a smartphone and web-based platform for program-wide communications. Key features include decreased reliance on the need for cellular access, the connection of all residents/staff without the use of personal phone numbers, flexibility to create private/subgroup contexts, accessibility, and a relatively easy learning curve. Slack was chosen as it possesses all of the above qualities, is secure for non-HIPAA purposes and is free of charge. METHODS: A Slack account was established; groups/channels corresponding with teams/rotations/services/departments were created; residents were trained on how to utilize Slack. A survey was sent to all residents one month following its implementation to evaluate their perception of changes in communication. RESULTS: 49 (60%) residents replied to the survey. Of those who replied, 72% felt communication has improved among the residents, 62% felt communication improved with staff and faculty, and 60% felt the benefit of Slack outweighed the annoyance of using Slack. CONCLUSIONS: The implementation of a customizable communication platform with wi-fi capability improved the quality of daily communication for residents within a large training program. Alternative solutions for communication should be explored if hospital-wide solutions are not already in place.
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116. RAISING HUMAN TRAFFICKING AWARENESS AND EDUCATION AMONG MEDICAL RESIDENTS Kim B. Hoang, MD, Christine Nelson, MD, Baylor College of Medicine (Houston), Houston, TX BACKGROUND: Human trafficking has surpassed the international drug trade to become the most rapid growing criminal enterprise in the world. Houston is recognized by the U.S. Department of State as one of the largest hubs in the country for human trafficking. One study reported that 50% of trafficking victims have sought medical care while in captivity. Another study showed that less than 10% of doctors recognize trafficking victims and less than 3% have received training in recognition and action. In 2004, Texas Human Trafficking Prevention Task Force was created to combat trafficking and in 2013, a bill was enacted that called for health care professionals be trained on how to identify victims of trafficking. OBJECTIVES: Our goal was to create a curriculum to educate local medical residents about the scope of trafficking in Houston and to train them how to identify red flags of victims of trafficking and provide the appropriate resources available for these individuals. METHOD: A one-hour training session was created that includes a lecture and practice case studies discussing human trafficking in the healthcare setting. Sessions where given to different residency programs including Emergency Medicine, Psychiatry, OB-GYN, Pediatrics, and Family Medicine; a total of 84 residents received the training. Pre and post surveys were given to assess attendees’ knowledge, attitude, behavior, and experience with human trafficking before and after the training. RESULTS: The assessment score of the surveys demonstrated that there was an overall 35% improvement on all knowledge assessment questions. 96% of individuals ranked physician training to identify victims of trafficking as very important to extremely important and 100% were aware of Houston area resources and appropriate actions after attending our training. Since the implementation of our training this past year, our attendees have reportedly identified 8 new trafficking victims. CONCLUSIONS: There is a lack of awareness about human trafficking among medical residents in the Houston area. Most have never received training or education on how to identify human trafficking victims and few know the appropriate resources and actions to take with these victims. Our future direction includes expanding our curriculum to hospitals, urgent cares, and medical clinics in high-risk areas of Houston, follow our attendees long term to see how many victims are then identified, and creating a standardized protocol for all health care providers in Houston on what to do when they identify a victim of trafficking. 117. IMPLEMENTING A SELF-DEVELOPED CULTURAL COMPETENCY WORKSHOP IN PEDIATRIC RESIDENCY AND ASSESSING OUTCOMES Karolina Maksimowski, MD, Danielle Massarella, MD, Abdulla Ghori, MD, Henry Ng, MD, Maria I. Herran, MD, Ronald Magliola, MD, Robert Needlman, MD, Mammen M. Puliyel, MD, Case Western Reserve University (MetroHealth), Cleveland, OH BACKGROUND AND SIGNIFICANCE: The United States is becoming more culturally and linguistically diverse. Our trainees’ cultural backgrounds do not always reflect the same mix of diversity. There is an increasing need for providing our trainees with the education and tools to provide culturally and linguistically appropriate health care.
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116. RAISING HUMAN TRAFFICKING AWARENESS AND EDUCATION AMONG MEDICAL RESIDENTS Kim B. Hoang, MD, Christine Nelson, MD, Baylor College of Medicine (Houston), Houston, TX BACKGROUND: Human trafficking has surpassed the international drug trade to become the most rapid growing criminal enterprise in the world. Houston is recognized by the U.S. Department of State as one of the largest hubs in the country for human trafficking. One study reported that 50% of trafficking victims have sought medical care while in captivity. Another study showed that less than 10% of doctors recognize trafficking victims and less than 3% have received training in recognition and action. In 2004, Texas Human Trafficking Prevention Task Force was created to combat trafficking and in 2013, a bill was enacted that called for health care professionals be trained on how to identify victims of trafficking. OBJECTIVES: Our goal was to create a curriculum to educate local medical residents about the scope of trafficking in Houston and to train them how to identify red flags of victims of trafficking and provide the appropriate resources available for these individuals. METHOD: A one-hour training session was created that includes a lecture and practice case studies discussing human trafficking in the healthcare setting. Sessions where given to different residency programs including Emergency Medicine, Psychiatry, OB-GYN, Pediatrics, and Family Medicine; a total of 84 residents received the training. Pre and post surveys were given to assess attendees’ knowledge, attitude, behavior, and experience with human trafficking before and after the training. RESULTS: The assessment score of the surveys demonstrated that there was an overall 35% improvement on all knowledge assessment questions. 96% of individuals ranked physician training to identify victims of trafficking as very important to extremely important and 100% were aware of Houston area resources and appropriate actions after attending our training. Since the implementation of our training this past year, our attendees have reportedly identified 8 new trafficking victims. CONCLUSIONS: There is a lack of awareness about human trafficking among medical residents in the Houston area. Most have never received training or education on how to identify human trafficking victims and few know the appropriate resources and actions to take with these victims. Our future direction includes expanding our curriculum to hospitals, urgent cares, and medical clinics in high-risk areas of Houston, follow our attendees long term to see how many victims are then identified, and creating a standardized protocol for all health care providers in Houston on what to do when they identify a victim of trafficking. 117. IMPLEMENTING A SELF-DEVELOPED CULTURAL COMPETENCY WORKSHOP IN PEDIATRIC RESIDENCY AND ASSESSING OUTCOMES Karolina Maksimowski, MD, Danielle Massarella, MD, Abdulla Ghori, MD, Henry Ng, MD, Maria I. Herran, MD, Ronald Magliola, MD, Robert Needlman, MD, Mammen M. Puliyel, MD, Case Western Reserve University (MetroHealth), Cleveland, OH BACKGROUND AND SIGNIFICANCE: The United States is becoming more culturally and linguistically diverse. Our trainees’ cultural backgrounds do not always reflect the same mix of diversity. There is an increasing need for providing our trainees with the education and tools to provide culturally and linguistically appropriate health care.