1. Introduction

In order to study the effectiveness of our curriculum- we first need some demographic information from each learner. We need to know your institution, your current level of training, and your prior instruction on handoff skills. Finally- we need an email address where we can send you the results of your knowledge assessments.

* 1. What is your current level of medical training:

* 2. What medical school did you attend/are you attending?

* 3. If you are a resident- please state the name of your residency program:

* 4. Regarding inpatient handoffs-- (examples: day team to night float handoffs, emergency room to hopsital team handoffs)

Please estimate the amount of prior teaching you have received:

* 5. Regarding discharge handoffs-- (examples: creating discharge summaries, calling primary care providers, coordinating discharge care plans)

Please estimate the amount of prior teaching you have received:

* 6. Regarding patient discharge instructions-- (including written discharge instructions and verbal discharge counseling)

Please estimate the amount of prior teaching you have received:

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