Patel Silka, Lidor Anne, Sanyal Abanti, Goepfert Alice R, Hueppchen Nancy
Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland.
Department of Surgery, Johns Hopkins University, Baltimore, Maryland.
J Surg Educ. 2018 Mar-Apr;75(2):321-325. doi: 10.1016/j.jsurg.2017.07.027. Epub 2017 Aug 7.
To understand the perception of professionalism surrounding smartphone use (wards/educational activities) among medical students and surgical faculty.
A prospective cohort study was conducted using an electronic survey and distributed to third- and fourth-year medical students, obstetrics/gynecology, and surgery faculty members. Five cases were randomly presented; participants were asked to review and rate the clinician's behavior on a 5-point Likert scale.
The study was completed at The Johns Hopkins University School of Medicine, a tertiary care institution, in the departments of gyn/ob and surgery.
A total of 123 medical students (51% response rate) from the class of 2015/2016 along with 73 surgical faculty in the departments of gyn/ob and surgery completed the study. Of the surgical faculty, 48% were ob/gyn (54% response rate) and 52% were surgery (21% response rate). Of note, when quarrying the department of surgery all surgical faculty were included, however, only those with direct student interaction were asked to complete the survey leading to the lower response rate.
In 3 of 5 scenarios, students and faculty had significant differences in perception of professionalism (p<0.05). Faculty were more likely to find behaviors unprofessional compared to students. The acceptability of certain behaviors was significantly correlated in some case scenarios with how participants reported using their smartphones. Personal use of technology appears to influence the perception of acceptable behavior in certain scenarios.
了解医学生和外科教员对智能手机使用(病房/教育活动)方面职业素养的看法。
采用电子调查问卷进行前瞻性队列研究,调查对象为三、四年级医学生、妇产科和外科教员。随机呈现5个案例;要求参与者以5级李克特量表对临床医生的行为进行评估和打分。
该研究在约翰霍普金斯大学医学院(一家三级医疗机构)的妇产科和外科完成。
2015/2016届的123名医学生(回复率51%)以及妇产科和外科的73名外科教员完成了该研究。在外科教员中,48%为妇产科医生(回复率54%),52%为外科医生(回复率21%)。值得注意的是,在调查外科时,纳入了所有外科教员,但只有那些与学生有直接互动的教员被要求完成调查,这导致回复率较低。
在5个案例中的3个案例中,学生和教员在职业素养认知上存在显著差异(p<0.05)。与学生相比,教员更倾向于认为某些行为不具备职业素养。在某些案例中,特定行为的可接受性与参与者报告的智能手机使用方式显著相关。在某些情况下,个人对技术的使用似乎会影响对可接受行为的认知。