Tseng Yu Shan, Thomas Ronald, Sarnaik Ajit
Department of Pediatrics, Children's Hospital of Michigan, Divisions of Critical Care Medicine, Detroit, MI, USA.
Department of Pediatrics, Children's Hospital of Michigan, Detroit, MI, USA.
J Med Educ Curric Dev. 2024 Aug 19;11:23821205241275357. doi: 10.1177/23821205241275357. eCollection 2024 Jan-Dec.
Physicians often use mobile apps for patient care, but few apps are dedicated to pediatric critical care medicine (PCCM). This study developed a mobile app specifically for Pediatric Critical Care Unit (PICU) residents to aid their onboarding process and aimed to assess whether it could enhance their confidence and comfort levels.
From March 2020 to April 2021, 90 residents participated and completed pre- and post-rotation quizzes with 20 questions each. Quiz score differences between the control and app groups were analyzed using t-tests. A survey was also administered at the end of the rotation to compare comfort level and confidence in PCCM knowledge pre- and post-rotation.
Enrollment included 50 residents in the control group and 40 in the app group. The participation rate was 100%, but not all participants completed both quizzes and survey. The app group showed a significantly greater improvement in quiz scores from pre- to post-rotation compared to the control group (increase of 0.23 questions vs 1.67, p = 0.045). However, the two groups had no significant differences in confidence in PCCM knowledge (p = 0.246) or comfort levels (p = 0.776) in the PICU.
This study found no significant difference in confidence levels between the App and control groups at the end of the PICU rotation. However, the App group outperformed the control group in knowledge assessments. Frequent use of the app likely reinforced essential concepts and facilitated adaptation to the PICU service. Overall, the app's positive impact on knowledge and adaptation indicates it is a valuable tool for enhancing medical residents' educational experiences in busy clinical environments.
医生经常使用移动应用程序进行患者护理,但专门用于儿科重症医学(PCCM)的应用程序却很少。本研究开发了一款专门针对儿科重症监护病房(PICU)住院医师的移动应用程序,以帮助他们的入职培训过程,并旨在评估该应用程序是否能增强他们的信心和舒适度。
从2020年3月至2021年4月,90名住院医师参与并完成了每次20道题的轮转前和轮转后测验。使用t检验分析对照组和应用程序组之间的测验分数差异。在轮转结束时还进行了一项调查,以比较轮转前后对PCCM知识的舒适度和信心。
入组包括对照组的50名住院医师和应用程序组的40名住院医师。参与率为100%,但并非所有参与者都完成了测验和调查。与对照组相比,应用程序组在轮转前到轮转后的测验分数上有显著更大的提高(增加了0.23道题对1.67道题,p = 0.045)。然而,两组在对PCCM知识的信心(p = 0.246)或在PICU的舒适度(p = 0.776)方面没有显著差异。
本研究发现在PICU轮转结束时,应用程序组和对照组之间的信心水平没有显著差异。然而,应用程序组在知识评估方面优于对照组。频繁使用该应用程序可能强化了基本概念,并促进了对PICU服务的适应。总体而言,该应用程序对知识和适应的积极影响表明,它是在繁忙临床环境中增强住院医师教育体验的宝贵工具。