Journal of Biomedical Education / 2015 / Article / Tab 3

Research Article

Assessing Origins of Quality Gaps in Discharge Summaries: A Survey of Resident Physician Attitudes

Table 3

Authoring, comfort, and effort of discharge summaries by training level.

Intern number (%)Resident number (%) value

How many times have you authored the majority of the hospital course section of the discharge summary (inpatient setting)?
 Never0 (0)0 (0)0.67
 1–3 times3 (7.9)1 (2.4)
 4–6 times1 (2.6)1 (2.4)
 >6 times34 (89.5)39 (95.1)
How many times have you been the principal author of the hospital course section of the discharge summary without being the primary team member involved most closely in the case?
 Never15 (39.5)2 (4.9)<0.001
 1–3 times16 (42.1)14 (34.1)
 4–6 times5 (13.1)15 (36.6)
 >6 times2 (5.3)10 (24.4)
If you have authored discharge summaries without being the primary team member involved most closely in the case, how comfortable did you feel?
 Not at all7 (18.4)2 (4.9)0.09
 A little11 (28.9)8 (19.5)
 Somewhat15 (39.5)17 (29.3)
 Mostly5 (13.2)12 (41.4)
 Completely0 (0)2 (4.9)
 Not at all comfortable to a little comfortable18 (47.4)10 (24.4)0.04
 Somewhat comfortable to completely comfortable20 (52.6)31 (75.6)
Compared to authoring an admission note, how much effort do you feel you put into authoring the discharge summary (inpatient setting)?
 A lot less effort4 (10.5)5 (12.2)0.15
 Somewhat less effort22 (57.9)18 (43.9)
 Equal effort12 (31.6)12 (29.3)
 Somewhat more effort0 (0)5 (12.2)
 A lot more effort0 (0)1 (2.4)