Handoffs, or the transfer of patient care from one provider to another, are a complex task which can both contribute to and prevent medical errors. In this article, we review three topics that illustrate what is good, bad, and ugly about the current state of handoff research. First, we examine the good, the increase both in quantity and variety of research into patient handoffs over the past 30 years. Second, we discuss what is lacking, funding for handoff research. Finally we review one of the most troubling aspects of handoffs, the general lack of education and training for medical students, residents, and nursing students, to prepare them to manage handoffs as health care providers.