内科实习教学主任对内科实习和便携式计算的全国性调查。

Medicine clerkships and portable computing: a national survey of internal medicine clerkship directors.

机构信息

Department of Medicine, Michigan State University, East Lansing, Michigan, USA.

出版信息

Teach Learn Med. 2010 Jan;22(1):22-7. doi: 10.1080/10401330903445992.

DOI:10.1080/10401330903445992

PMID:20391279

Abstract

BACKGROUND

Portable computers are widely used by medical trainees, but there is a lack of data on how these devices are used in clinical education programs.

PURPOSES

The objective is to define the current use of portable computing in internal medicine clerkships and to determine medicine clerkship directors' perceptions of the current value and future importance of portable computing.

METHODS

A 2006 national survey of institutional members of the Clerkship Directors in Internal Medicine.

RESULTS

Eighty-three of 110 (75%) of institutional members responded. An institutional requirement for portable computing was reported by 32 schools (39%), whereas only 13 (16%) provided students with a portable computer. Between 10 and 31 institutions (12-37%) reported student use for patient care activities (i.e. order entry, writing patient notes) and only 2 to 4 institutions (2-5%) required such use. The majority of respondents (59-95%) reported portable computer use for educational activities (i.e., tracking patient problems, knowledge resource), however, only in 5 to 19 (6-23%) were such educational uses required. Fifty-six respondents (68%) reported that portable computer's "added value" for teaching and 61 (73%) reported that portable computers would be important in meeting clerkship objectives in the next 3 years. Of interest, even among the institutions requiring portable computers, only 50% recommended or required specific software.

CONCLUSIONS

Portable computing is required at 39% of allopathic medical schools in the United States. However required portable computing for specific patient care or educational tasks is uncommon. In addition, guidance on specific software exists in only one half of school requiring portable computers, suggesting informal or unstructured uses of required portable computer's in the remaining half. The educational impact of formal institutional requirements for software versus informal "user-defined" applications is unknown.

摘要

背景

便携式计算机在医学实习生中得到了广泛应用，但关于这些设备在临床教育计划中的使用情况，数据却很少。

目的

本研究旨在确定内科实习中便携式计算的当前使用情况，并确定内科实习主任对便携式计算当前价值和未来重要性的看法。

方法

对 2006 年内科实习主任机构成员进行了全国性调查。

结果

在 110 个机构成员中，有 83 个（75%）做出了回应。32 所学校（39%）报告了对便携式计算的机构要求，而只有 13 所（16%）为学生提供了便携式计算机。有 10 到 31 所机构（12-37%）报告学生使用便携式计算机进行患者护理活动（即医嘱录入、书写患者记录），而只有 2 到 4 所机构（2-5%）要求这样做。大多数受访者（59-95%）报告说，便携式计算机用于教育活动（即跟踪患者问题、知识资源），但只有 5 到 19 所（6-23%）要求这样使用。56 名受访者（68%）报告说，便携式计算机对教学有“附加价值”，61 名受访者（73%）报告说，在未来 3 年内，便携式计算机对实现实习目标非常重要。值得注意的是，即使在要求使用便携式计算机的机构中，也只有 50%推荐或要求使用特定软件。

结论

在美国，有 39%的医学预科学校需要使用便携式计算机。但是，对于特定的患者护理或教育任务，需要使用便携式计算机的情况并不常见。此外，在要求使用便携式计算机的学校中，只有一半提供了具体软件的指导，这表明在另一半学校中，可能存在对要求使用的便携式计算机的非正式或无组织的使用。对于软件的正式机构要求与非正式的“用户定义”应用程序的教育影响，目前还不得而知。