The Impact of a Personal Digital Assistant (PDA) Case Log in a Medical Student Clerkship
The Impact of a Personal Digital Assistant (PDA) Case Log in a Medical Student Clerkship
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DOI：
10.1080/10401330903228554
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发表时间：
2009-01-01
影响因子：
2.5
通讯作者：
Scott, Ian
中科院分区：
文献类型：
--
作者：
Ho, Kendall;Lauscher, Helen Novak;Scott, Ian
背景：医学教育文献强调反思和自我审计是学习的关键步骤，个人数字助理（pda）有潜力成为决策支持工具。描述：目的是检查基于pda的资源和患者遭遇记录系统在儿科轮转期间的三年级医疗文员中的有效性。评估：轮转的学生被分配到控制组（使用纸质日志和参考文献）或干预组（使用基于pda的日志和资源）。学生完成了轮转前和轮转后的儿科能力调查，参加了焦点小组，并对年终考试成绩进行了比较。PDA日志的使用远远超过了纸质日志（1020个PDA日志和87个纸质日志）。PDA日志对学习和反思的促进作用显著高于纸质日志（t = 2.52, p < 0.01）。PDA日志还促进了特定的学习经验。结论：基于pda的患者遭遇日志似乎是有效的病例记录和反思工具。控制组和干预组之间日志数量的差异证明了PDA在“护理点”患者日志记录方面的实用性。
Background: Medical education literature emphasizes that reflection and self-audit are pivotal steps in learning and that personal digital assistants (PDAs) have potential as decision support tools. Description: The purpose was to examine the efficacy of PDA-based resources and patient-encounter logging systems among 3rd-year medical clerks during pediatrics rotations. Evaluation: Students in rotations were assigned to control (using paper-based logs and references) or intervention groups (using PDA-based logs and resources). Students completed pre- and postrotation Paediatrics Competency Surveys, participated in focus groups, and were compared on year-end examination grades. Use of PDA logs far outweighed that of paper logs (1,020 PDA logs and 87 paper logs). PDA logs were ranked significantly higher in enhancing learning and reflection than paper logs (t = 2.52, p < .01). PDA logs also facilitated specific learning experiences. Conclusion: PDA-based patient-encounter logs appear to be effective case documentation and reflection tools. The difference in number of logs between control and intervention groups demonstrates the utility of the PDA for "point-of-care" patient logging.