Morning report: Combining education with patient handover

Hilary Sanfey, B. Stiles, T. Hedrick, R. G. Sawyer

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations


Introduction: The advent of resident work hour restrictions has challenged us to train residents within a shorter working week, while ensuring continuity of patient care. We instituted morning report (MR) at the University of Virginia primarily as a means to accomplish these objectives. Serendipitously MR has become an integral educational tool for the surgical residents. The rationale for the format and instructional design are discussed in the context of learning theory. Methods: The chief residents as primary stakeholders were strongly encouraged to play a leadership role in designing MR. A faculty-led didactic format was rejected because of the importance of focusing on resident team building, and leadership, but poor faculty participation was also an issue. Results: The initial obstacles included timing, and designing the format. Conclusions: MR is an opportunity for residents to exercise and improve their knowledge, leadership, presentation and problem-solving skills. We would hypothesise that the advantages for teaching are many and include that residents are prepared for actual clinical problems in a supportive environment with opportunities for immediate feedback and assessment. Reports of educational effectiveness of MR are mostly anecdotal and further studies are needed to characterise the types of learning and teaching that occur during MR and to document educational effectiveness.

Original languageEnglish (US)
Pages (from-to)94-100
Number of pages7
Issue number2
StatePublished - Apr 2008
Externally publishedYes


  • Continuity of care
  • Morning report

ASJC Scopus subject areas

  • Surgery


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