Limits...
How residents and interns utilise and perceive the personal digital assistant and UpToDate.

Phua J, Lim TK - BMC Med Educ (2008)

Bottom Line: Meanwhile, only 76 doctors (56.7%) used UpToDate, even though the hospital had an institutional subscription for it.Although 93.4% of these users would recommend UpToDate to a colleague, only 57.9% stated that the use of UpToDate had led to a change in their management of patients.Although UpToDate and various PDA software applications were deemed useful by some of the residents and interns in our study, both digital tools were under-utilised.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, 119074, Singapore. phua_jason@yahoo.com.sg

ABSTRACT

Background: In this era of evidence-based medicine, doctors are increasingly using information technology to acquire medical knowledge. This study evaluates how residents and interns utilise and perceive the personal digital assistant (PDA) and the online resource UpToDate.

Methods: This is a questionnaire survey of all residents and interns in a tertiary teaching hospital.

Results: Out of 168 doctors, 134 (79.8%) responded to the questionnaire. Only 54 doctors (40.3%) owned a PDA. Although these owners perceived that the PDA was most useful for providing drug information, followed by medical references, scheduling and medical calculators, the majority of them did not actually have medical software applications downloaded on their PDAs. The greatest concerns highlighted for the PDA were the fear of loss and breakage, and the preference for working with desktop computers and paper. Meanwhile, only 76 doctors (56.7%) used UpToDate, even though the hospital had an institutional subscription for it. Although 93.4% of these users would recommend UpToDate to a colleague, only 57.9% stated that the use of UpToDate had led to a change in their management of patients.

Conclusion: Although UpToDate and various PDA software applications were deemed useful by some of the residents and interns in our study, both digital tools were under-utilised. More should be done to facilitate the use of medical software applications on PDAs, to promote awareness of tools for evidence-based medicine such as UpToDate, and to facilitate the application of evidence-based medicine in daily clinical practice.

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Doctors' use and perception of UpToDate.
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Figure 2: Doctors' use and perception of UpToDate.

Mentions: As depicted in Figure 2, 76 doctors (58 residents and 18 interns) had previously used UpToDate. The median time spent per week was 1.0 hour (IQR 0.5 – 2.0 hours). The median frequency of use per week was 3.0 times (IQR 2.0 – 5.0 times). The median score on a Likert scale of 1 to 5 for the perceived usefulness of UpToDate was 1.0 (IQR 1.0 – 1.0). The median time taken to find an answer per search was 5.0 minutes (IQR 3.0 – 10.0 minutes).


How residents and interns utilise and perceive the personal digital assistant and UpToDate.

Phua J, Lim TK - BMC Med Educ (2008)

Doctors' use and perception of UpToDate.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2483706&req=5

Figure 2: Doctors' use and perception of UpToDate.
Mentions: As depicted in Figure 2, 76 doctors (58 residents and 18 interns) had previously used UpToDate. The median time spent per week was 1.0 hour (IQR 0.5 – 2.0 hours). The median frequency of use per week was 3.0 times (IQR 2.0 – 5.0 times). The median score on a Likert scale of 1 to 5 for the perceived usefulness of UpToDate was 1.0 (IQR 1.0 – 1.0). The median time taken to find an answer per search was 5.0 minutes (IQR 3.0 – 10.0 minutes).

Bottom Line: Meanwhile, only 76 doctors (56.7%) used UpToDate, even though the hospital had an institutional subscription for it.Although 93.4% of these users would recommend UpToDate to a colleague, only 57.9% stated that the use of UpToDate had led to a change in their management of patients.Although UpToDate and various PDA software applications were deemed useful by some of the residents and interns in our study, both digital tools were under-utilised.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, 119074, Singapore. phua_jason@yahoo.com.sg

ABSTRACT

Background: In this era of evidence-based medicine, doctors are increasingly using information technology to acquire medical knowledge. This study evaluates how residents and interns utilise and perceive the personal digital assistant (PDA) and the online resource UpToDate.

Methods: This is a questionnaire survey of all residents and interns in a tertiary teaching hospital.

Results: Out of 168 doctors, 134 (79.8%) responded to the questionnaire. Only 54 doctors (40.3%) owned a PDA. Although these owners perceived that the PDA was most useful for providing drug information, followed by medical references, scheduling and medical calculators, the majority of them did not actually have medical software applications downloaded on their PDAs. The greatest concerns highlighted for the PDA were the fear of loss and breakage, and the preference for working with desktop computers and paper. Meanwhile, only 76 doctors (56.7%) used UpToDate, even though the hospital had an institutional subscription for it. Although 93.4% of these users would recommend UpToDate to a colleague, only 57.9% stated that the use of UpToDate had led to a change in their management of patients.

Conclusion: Although UpToDate and various PDA software applications were deemed useful by some of the residents and interns in our study, both digital tools were under-utilised. More should be done to facilitate the use of medical software applications on PDAs, to promote awareness of tools for evidence-based medicine such as UpToDate, and to facilitate the application of evidence-based medicine in daily clinical practice.

Show MeSH
Related in: MedlinePlus