日本医院使用基于网络的临床知识支持系统与研究生住院医生的在训考试成绩:全国性观察研究。

IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Koshi Kataoka, Yuji Nishizaki, Taro Shimizu, Yu Yamamoto, Kiyoshi Shikino, Masanori Nojima, Kazuya Nagasaki, Sho Fukui, Sho Nishiguchi, Kohta Katayama, Masaru Kurihara, Rieko Ueda, Hiroyuki Kobayashi, Yasuharu Tokuda
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引用次数: 0

摘要

背景:在日本,教学医院的教学成果与基于网络的临床知识支持系统的使用之间的关系尚不清楚。之前的一项相关研究由于使用了自我报告问卷,可能会受到回忆偏差的影响:我们旨在探讨教学医院使用 Wolters Kluwer UpToDate 临床知识支持系统与住院医师全科医学培训考试 (GM-ITE) 分数之间的关系。在这项研究中,我们客观评估了 UpToDate 医院使用日志总数与 GM-ITE 分数之间的关系:这项全国范围的横断面研究包括在 2020 学年参加考试的研究生一年级和二年级住院医师。医院层面的信息来自已发布的网页,UpToDate 医院使用日志由 Wolters Kluwer 提供。我们评估了 UpToDate 医院使用日志总数与住院医师 GM-ITE 分数之间的关系。我们分析了 2017 年至 2019 年期间至少有 5 名 GM-ITE 受检者和医院使用日志的 215 家教学医院:研究人群包括来自 215 家教学医院的 3013 名住院医师,这些医院在 2017 年至 2019 年期间至少有 5 名 GM-ITE 受检者和基于网络的资源使用日志数据。高使用率医院住院医师的 GM-ITE 分数明显高于低使用率医院住院医师(平均 26.9,SD 2.0 vs 平均 26.2,SD 2.3;P=.009;Cohen d=0.35,95% CI 0.08-0.62)。GM-ITE 评分与医院使用日志总数呈显著相关(Pearson r=0.28;PConclusions:研究结果表明,通过 UpToDate 培养住院医师的临床推理能力与 GM-ITE 高分相关。因此,UpToDate的高使用率可能会引导高使用率医院的医生和住院医师增加循证医学的实施,从而带来高教育成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hospital Use of a Web-Based Clinical Knowledge Support System and In-Training Examination Performance Among Postgraduate Resident Physicians in Japan: Nationwide Observational Study.

Background: The relationship between educational outcomes and the use of web-based clinical knowledge support systems in teaching hospitals remains unknown in Japan. A previous study on this topic could have been affected by recall bias because of the use of a self-reported questionnaire.

Objective: We aimed to explore the relationship between the use of the Wolters Kluwer UpToDate clinical knowledge support system in teaching hospitals and residents' General Medicine In-Training Examination (GM-ITE) scores. In this study, we objectively evaluated the relationship between the total number of UpToDate hospital use logs and the GM-ITE scores.

Methods: This nationwide cross-sectional study included postgraduate year-1 and -2 residents who had taken the examination in the 2020 academic year. Hospital-level information was obtained from published web pages, and UpToDate hospital use logs were provided by Wolters Kluwer. We evaluated the relationship between the total number of UpToDate hospital use logs and residents' GM-ITE scores. We analyzed 215 teaching hospitals with at least 5 GM-ITE examinees and hospital use logs from 2017 to 2019.

Results: The study population consisted of 3013 residents from 215 teaching hospitals with at least 5 GM-ITE examinees and web-based resource use log data from 2017 to 2019. High-use hospital residents had significantly higher GM-ITE scores than low-use hospital residents (mean 26.9, SD 2.0 vs mean 26.2, SD 2.3; P=.009; Cohen d=0.35, 95% CI 0.08-0.62). The GM-ITE scores were significantly correlated with the total number of hospital use logs (Pearson r=0.28; P<.001). The multilevel analysis revealed a positive association between the total number of logs divided by the number of hospital physicians and the GM-ITE scores (estimated coefficient=0.36, 95% CI 0.14-0.59; P=.001).

Conclusions: The findings suggest that the development of residents' clinical reasoning abilities through UpToDate is associated with high GM-ITE scores. Thus, higher use of UpToDate may lead physicians and residents in high-use hospitals to increase the implementation of evidence-based medicine, leading to high educational outcomes.

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来源期刊
JMIR Medical Education
JMIR Medical Education Social Sciences-Education
CiteScore
6.90
自引率
5.60%
发文量
54
审稿时长
8 weeks
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