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Jamie Woodley DO, Jasmeen Visla MD, Tajnoos Yazdany MD, Hindi Stohl MD JD, Kristina Galyon DO

Intro: Transferring residency programs can be overwhelming for the transferring resident and the receiving program. A protocolized transfer process may be helpful for programs to facilitate a smooth transfer process with transfer rates now approaching 25% (1,2). A Transfer Readiness Checklist was developed to help alleviate stressors relating to the transfer process.

Methods: Program leadership in the department of OBGYN at Harbor-UCLA developed a comprehensive guide based on experience and feedback to help facilitate integration of future transfer residents. A Transfer Readiness Checklist was designed and implemented prior to receiving three additional transfer residents (PGY 2, 3, 4) due to an ACGME approved increase in resident compliment. A linear scale and free response satisfaction survey was administered to the transfer residents after completion of one year in the new program.

Results: A multi-faceted guide was developed including a Transfer Readiness Checklist comprised of four key domains: Logistical, Clinical, Social, and Emotional Integration. Logistical integration includes compliance with the medical board, ACGME requirements, and review of surgical case logs and competencies. Clinical integration includes orientation to the clinical care including EMR training and touring clinical spaces. Social integration describes efforts to facilitate inclusion of the transfer resident. Emotional integration highlights the importance f mental health support with an introduction to support services. Additional mentorship for URM residents should be provided. Survey results demonstrated that the residents were either satisfied or very satisfied with all domains of integration except for clinical integration which ranged from dissatisfied to satisfied.

Discussion: This comprehensive guide has the potential to improve the resident transfer experience. Additionally, the Transfer Readiness Checklist provides program leadership with a structured process for integration of transfer residents.