The Effect of Mobile Tablet Computer (iPad) Implementation on Graduate Medical Education at a Multi-specialty Residency Institution
- PMID: 27437163
- PMCID: PMC4950093
The Effect of Mobile Tablet Computer (iPad) Implementation on Graduate Medical Education at a Multi-specialty Residency Institution
Abstract
Use of mobile tablet computers (MTCs) in residency education has grown. The objective of this study was to investigate the impact of MTCs on multiple specialties' residency training and identify MTC adoption impediments. To our knowledge, this current project is one of the first multispecialty studies of MTC implementation. A prospective cohort study was formulated. In June 2012 iPad2s were issued to all residents after completion of privacy/confidentiality agreements and a mandatory hard-copy pre-survey regarding four domains of usage (general, self-directed learning, clinical duties, and patient education). Residents who received iPads previously were excluded. A voluntary post-survey was conducted online in June 2013. One-hundred eighty-five subjects completed pre-survey and 107 completed post-survey (58% overall response rate). Eighty-six pre- and post-surveys were linked (response rate of 46%). There was a significant increase in residents accessing patient information/records and charting electronically (26.9% to 79.1%; P<.001), but a significant decrease in looking up drug and treatment reference material (97.0% to 82.1%; P=.0039). There was a significant increase in MTC use as a primary means of charting when conducting rounds (4.9% to 39.5%; P<.001) and a significant decrease in using paper charts (30.1% to 15.7%; P=.0073). There was also a significant increase in MTC use as a primary means for explaining a diagnosis (7.7% to 57.7%; P<.001). The use of MTC has an impact on how residents approach medical education, clinical practice, and patient education. The survey tool may be useful in collecting data on MTC use by other graduate medical education programs.
Keywords: graduate medical training; mobile tablet computers.
Similar articles
-
Physical Medicine and Rehabilitation Resident Use of iPad Mini Mobile Devices.PM R. 2015 May;7(5):512-8. doi: 10.1016/j.pmrj.2015.01.017. Epub 2015 Feb 4. PM R. 2015. PMID: 25661459
-
Assessing medical residents' usage and perceived needs for personal digital assistants.Int J Med Inform. 2004 Feb;73(1):25-34. doi: 10.1016/j.ijmedinf.2003.12.005. Int J Med Inform. 2004. PMID: 15036076
-
Resident iPad use: has it really changed the game?J Am Coll Radiol. 2014 Feb;11(2):180-4. doi: 10.1016/j.jacr.2013.04.017. Epub 2013 Jun 25. J Am Coll Radiol. 2014. PMID: 23809171
-
Personal digital assistants: a review of their application in graduate medical education.Am J Med Qual. 2005 Sep-Oct;20(5):262-7. doi: 10.1177/1062860605278616. Am J Med Qual. 2005. PMID: 16221834 Review.
-
Evaluating Coding Accuracy in General Surgery Residents' Accreditation Council for Graduate Medical Education Procedural Case Logs.J Surg Educ. 2016 Nov-Dec;73(6):e59-e63. doi: 10.1016/j.jsurg.2016.07.017. J Surg Educ. 2016. PMID: 27886974 Review.
Cited by
-
Development of clinical-guideline-based mobile application and its effect on head CT scan utilization in neurology and neurosurgery departments.BMC Med Inform Decis Mak. 2022 Apr 20;22(1):106. doi: 10.1186/s12911-022-01844-3. BMC Med Inform Decis Mak. 2022. PMID: 35443649 Free PMC article.
-
Going Mobile: Resident Physicians' Assessment of the Impact of Tablet Computers on Clinical Tasks, Job Satisfaction, and Quality of Care.Appl Clin Inform. 2018 Jul;9(3):588-594. doi: 10.1055/s-0038-1667121. Epub 2018 Aug 8. Appl Clin Inform. 2018. PMID: 30089332 Free PMC article.
References
-
- Research M. Taking the pulse: U.S. 2013. New York, New York: Manhattan Research; 2013.
-
- Anderson C, Henner T, Burkey J. Tablet computers in support of rural and frontier clinical practice. International Journal of Medical Informatics. 2013 Nov;82(11):1046–1058. - PubMed
-
- Murphy AD, Belcher HJ. A novel method for sterile intra-operative iPad use. Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS. 2012 Mar;65(3):403–404. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources