• Margaret L Boehler, Cathy J Schwind, Stephen J Markwell, and Rebecca M Minter.
• *Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL†Midwest Healthcare Quality Alliance, Springfield, IL‡University of Texas Southwestern Medical Center, Dallas, TX§ACS/APDS/ASE Resident Preparatory Curriculum, American College of Surgeons, Division of Education, Chicago, IL.
• Ann. Surg. 2016 Jan 15.

ImportanceAnswering pages from nurses about patients in need of immediate attention is one of the most difficult challenges a resident faces during their first days as a physician. A Mock Page program has been developed and adopted into a national surgical resident preparatory curriculum to prepare senior medical students for this important skill.ObjectiveThe purpose of this study is to assess standardized mock page cases as a valid construct to assess clinical decision making and interprofessional communication skills.Design, Setting, ParticipantsMock page cases (n = 16) were administered to 213 senior medical students from 12 medical schools participating in a national surgical resident preparatory curriculum in 2013 and 2014.Main Outcome MeasuresClinical decision making and interprofessional communication were measured by case-specific assessments evaluating these skills which have undergone rigorous standard-setting to determine pass/fail cut points.ResultsStudents' performance improved in general for both communication and clinical decision making over the 4-week course. Cases have been identified that seem to be best suited for differentiating high- from low-performing students. Chest pain, pulmonary embolus, and mental status change cases posed the greatest difficulty for student learners.Conclusions And RelevanceSimulated mock pages demonstrate an innovative technique for training students in both effective interprofessional communication and management of common postoperative conditions they will encounter as new surgical interns.

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