Haynes R B, McKibbon K A, Bayley E, Walker C J, Johnston M E
Health Information Research Unit, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Proc Annu Symp Comput Appl Med Care. 1992:560-3.
To determine self-reported microcomputer and information technology competency, access, and usage by entering medical students and their perceptions of the need for training in additional applications.
Cross-sectional surveys of successive classes.
McMaster University Faculty of Health Sciences Medical Undergraduate Program, which has a 33-month, problem-based, self-directed learning curriculum and a high applicant-to-student ratio.
Medical school classes entering in 1987, 1988, and 1989. Response rates were 80%, 90%, and 86% respectively.
A self-report questionnaire was sent to each student, with up to two follow-up letters to prompt a response.
There was a progressive rise in reported information technology access and use for the three years. For the classes starting in 1987, '88, and '89 respectively, computer access was 29%, 49%, and 49% (P < 0.002 for linear trend), and, among those with computer access, modem access was 17%, 29% and 50% (P = 0.012). Self-service MEDLINE use on CD-ROM at the Health Sciences Library was 65%, 75%, and 89% respectively (P < 0.001) for all respondents within the first few months of starting medical school. Over 50% of each class stated they would take courses, if available, on clinical applications software, office management, online searching, filing, and CD-ROM searching.
Half of the most recent entering students already had access to a personal computer and most wished to learn computer applications that would assist them with patient management, and with information access and organization. Medical schools need to address which applications they will teach or make available and how to bring all students to acceptable competency in their use.
通过对入学医学生进行自我报告，确定其微机和信息技术能力、获取途径及使用情况，以及他们对额外应用培训需求的看法。
对连续班级进行横断面调查。
麦克马斯特大学健康科学学院医学本科项目，该项目采用为期33个月、基于问题的自主学习课程，申请人数与录取人数比例较高。
1987年、1988年和1989年入学的医学院班级。回复率分别为80%、90%和86%。
向每位学生发送一份自我报告问卷，并最多发送两封跟进信以促使其回复。
三年来，报告的信息技术获取和使用情况呈逐步上升趋势。分别针对1987年、1988年和1989年入学的班级，计算机拥有率为29%、49%和49%（线性趋势P<0.002），在拥有计算机的学生中，调制解调器拥有率为17%、29%和50%（P = 0.012）。在医学院入学后的头几个月内，所有受访者中，在健康科学图书馆使用光盘自助检索医学文献数据库（MEDLINE）的比例分别为65%、75%和89%（P<0.001）。每个班级超过50%的学生表示，如果有相关课程，他们愿意学习临床应用软件、办公管理、在线搜索、文件归档和光盘搜索等课程。
最近入学的学生中有一半已经能够使用个人计算机，并且大多数学生希望学习有助于患者管理以及信息获取和整理的计算机应用程序。医学院需要确定教授或提供哪些应用程序，以及如何使所有学生在使用这些程序方面达到可接受的能力水平。
