Twiss-Brooks Andrea B, Andrade Ricardo, Bass Michelle B, Kern Barbara, Peterson Jonna, Werner Debra A
J Med Libr Assoc. 2017 Jan;105(1):12-19. doi: 10.5195/jmla.2017.95.
The authors undertook this project to learn how third-year medical students seek and use information in the course of daily activities, especially activities conducted in clinical settings in a variety of institutions.
We recruited sixty-eight third-year undergraduate medical school students to create a mapping diary of a day that included clinical activities. We conducted semi-structured interviews based on the mapping diaries. Using content and thematic analyses of the resulting interview transcripts, we developed an ethnographic case study for each participant.
In the studied sample, we identified a broad range of information resources used for personal, clinical, and educational use. Participants relied heavily on technology throughout their day, including desktop computers, smart phones, handheld tablets, and laptops. Time management was a pervasive theme in the interviews, with participants squeezing in time to study for exams wherever and whenever they could. Selection of a particular information resource or technology to use was governed largely by the convenience of using that resource or technology. When obstacles were encountered, workarounds might be sought, but in many cases, the resource or technology would be abandoned in favor of a more convenient solution. Convenience was also a consideration in choosing spaces to use for clinical duties or for study, with specific considerations of available technology, proximity to clinical areas, and security for belongings contributing to choices made.
Some of our results align with those of other recent studies of information use among medical students, residents, and practicing physicians. In particular, the fast-paced clinical setting favors use of information resources that are fast and easy to use. We demonstrated that the methods used are suitable to better understand clinicians' discovery and use of information.
作者开展本项目是为了了解三年级医学生在日常活动过程中如何查找和使用信息，尤其是在各种机构的临床环境中开展的活动。
我们招募了68名本科三年级医学生，让他们创建一份包含临床活动的一天的映射日记。我们根据映射日记进行了半结构化访谈。通过对访谈转录本进行内容和主题分析，我们为每位参与者开展了一项人种学案例研究。
在所研究的样本中，我们确定了用于个人、临床和教育用途的广泛信息资源。参与者在一整天中都严重依赖技术，包括台式电脑、智能手机、手持平板电脑和笔记本电脑。时间管理是访谈中一个普遍存在的主题，参与者会尽可能随时随地挤出时间备考。选择使用特定的信息资源或技术很大程度上取决于使用该资源或技术的便利性。当遇到障碍时，可能会寻求变通方法，但在许多情况下，会放弃该资源或技术而选择更方便的解决方案。在选择用于临床工作或学习的空间时，便利性也是一个考虑因素，对可用技术、与临床区域的距离以及个人物品安全性的具体考虑影响了所做的选择。
我们的一些结果与最近其他关于医学生、住院医师和执业医师信息使用情况的研究结果一致。特别是，快节奏的临床环境有利于使用快速且易于使用的信息资源。我们证明了所使用的方法适合于更好地理解临床医生对信息的发现和使用。
