Miyagami Taiju, Nishizaki Yuji, Shimizu Taro, Yamamoto Yu, Shikino Kiyoshi, Kataoka Koshi, Nojima Masanori, Deshpande Gautam A, Naito Toshio, Tokuda Yasuharu
Department of General Medicine, Faculty of Medicine, Juntendo University, Bunkyo-ku Hongo 3-1-3, Tokyo, 113-8421, Japan, 81 338133111.
Division of Medical Education, School of Medicine, Juntendo University, Tokyo, Japan.
JMIR Form Res. 2025 May 9;9:e55087. doi: 10.2196/55087.
Note-taking is a method that has long been used to optimize studying. Recent innovations have seen the introduction of digital note-taking using software apps. Although the current state of digital note-taking has been verified mainly among students, the use and efficacy of digital note-taking by physicians in actual clinical practice remain unknown. Therefore, we sought to understand the characteristics of note-taking residents using a note-taking app and determine whether there is a difference in basic medical knowledge compared to that of nondigital note-taking residents.
This study investigated the use of a digital note-taking app by Japanese resident physicians.
This analytical cross-sectional study was conducted in resident physicians during the General Medicine In-Training Examination (GM-ITE), a clinical competency examination for resident physicians. The GM-ITE is a multiple-choice test with a maximum score of 80 points. Using a structured questionnaire, we collected data on the sociodemographic characteristics (sex, age, postgraduate year [PGY], or others), clinical training, GM-ITE scores, and the use of an app for note-taking to record case experience. The GM-ITE evaluated the scores by dividing them into 4 groups (groups 1-4), in order from the lowest to the highest. We conducted a multivariate analysis of sociodemographic, clinical training, and GM-ITE score variables to determine the independent predictors of the use of a digital note-taking app.
This study included 3833 participants; 1242 (32.4%) were female, 1988 (51.8%) were PGY 1 residents, 2628 (68.6%) were training in a rural area, 3236 (84.4%) were in community-based hospitals, and 1750 (45.3%) were app users. The app users were more likely to be in their PGY 2, to work in a community-based hospital, to have general internal medicine rotation experience, to use online medical resources more frequently, and to have more time for self-study. The results showed that the app users group had a higher GM-ITE score than the nonapp users group (adjusted odds ratio 0.74, 95% CI 0.25 to 1.22; P=.003).
To the best of our knowledge, this is the first study to investigate note-taking by physicians in Japan using apps. The app users group had a higher GM-ITE score than the nonapp users, suggesting that they may have higher clinical skills. In the future, we would like to conduct more in-depth research on the facts of note-taking using apps, based on our results.
记笔记是一种长期以来用于优化学习的方法。最近的创新引入了使用软件应用程序进行数字记笔记。尽管数字记笔记的现状主要在学生中得到了验证，但医生在实际临床实践中使用数字记笔记的情况及其效果仍不为人知。因此，我们试图了解使用记笔记应用程序的住院医师的记笔记特点，并确定与不使用数字记笔记的住院医师相比，他们在基础医学知识方面是否存在差异。
本研究调查了日本住院医师对数字记笔记应用程序的使用情况。
这项分析性横断面研究是在住院医师参加普通内科培训考试（GM-ITE）期间进行的，GM-ITE是一项针对住院医师的临床能力考试。GM-ITE是一项多项选择题测试，满分80分。我们使用结构化问卷收集了社会人口学特征（性别、年龄、研究生年级[PGY]等）、临床培训情况、GM-ITE分数以及使用应用程序记录病例经验的数据。GM-ITE将分数分为4组（第1 - 4组），从最低到最高排序。我们对社会人口学、临床培训和GM-ITE分数变量进行了多变量分析，以确定使用数字记笔记应用程序的独立预测因素。
本研究纳入了3833名参与者；其中1242名（32.4%）为女性，1988名（51.8%）为PGY1住院医师，2628名（68.6%）在农村地区培训，3236名（84.4%）在社区医院工作，1750名（45.3%）是应用程序用户。应用程序用户更有可能是PGY2级住院医师，在社区医院工作，有普通内科轮转经验，更频繁地使用在线医疗资源，并且有更多时间进行自学。结果显示，应用程序用户组的GM-ITE分数高于非应用程序用户组（调整后的优势比为0.74，95%置信区间为0.25至1.22；P = 0.003）。
据我们所知，这是第一项在日本调查医生使用应用程序记笔记的研究。应用程序用户组的GM-ITE分数高于非应用程序用户，这表明他们可能具有更高的临床技能。未来，我们希望根据我们的研究结果，对使用应用程序记笔记的实际情况进行更深入的研究。
