R Patterson1, P Harasym. 1. University of Calgary, Alberta, Canada. robpatterson@attcanada.net
Abstract
OBJECTIVE: To evaluate the benefit, for medical students on their surgical rotations, of real-time educational instruction during order entry on a hospital information system. DESIGN: Prospective controlled trial. INTERVENTION: Access to educational information during computerized order entry. SUBJECTS:Medical students in their final year at the University of Calgary. MAIN OUTCOMES: Attainment of the surgery rotation educational objectives, as measured by performance on a multiple-choice examination. METHODS: Before they began their surgical rotations, students at two hospitals took a multiple-choice examination to measure their knowledge of surgery. One hospital had an information system with computerized order entry; students at this hospital had access, while composing orders, to educational material on the system. The other hospital did not have an information system; students there wrote orders on a paper chart. At the end of the rotation, all students took another multiple-choice examination. RESULTS: Of 50 eligible students, 45 agreed to participate in the project, 21 in the treatment group and 24 in the control group. Pre-rotation scores were similar for the two groups (43 percent in the treatment group and 40 percent in the control group; SD, 10 percent). Post-rotation scores were identical for the two groups (65 percent in the treatment group and 65 percent in the control group; SD, 12 percent). A t-test analysis revealed no significant difference in performance on the examinations between the two groups. CONCLUSION: This study did not demonstrate a learning advantage for medical students who have access to educational material on a hospital information system.
RCT Entities:
OBJECTIVE: To evaluate the benefit, for medical students on their surgical rotations, of real-time educational instruction during order entry on a hospital information system. DESIGN: Prospective controlled trial. INTERVENTION: Access to educational information during computerized order entry. SUBJECTS: Medical students in their final year at the University of Calgary. MAIN OUTCOMES: Attainment of the surgery rotation educational objectives, as measured by performance on a multiple-choice examination. METHODS: Before they began their surgical rotations, students at two hospitals took a multiple-choice examination to measure their knowledge of surgery. One hospital had an information system with computerized order entry; students at this hospital had access, while composing orders, to educational material on the system. The other hospital did not have an information system; students there wrote orders on a paper chart. At the end of the rotation, all students took another multiple-choice examination. RESULTS: Of 50 eligible students, 45 agreed to participate in the project, 21 in the treatment group and 24 in the control group. Pre-rotation scores were similar for the two groups (43 percent in the treatment group and 40 percent in the control group; SD, 10 percent). Post-rotation scores were identical for the two groups (65 percent in the treatment group and 65 percent in the control group; SD, 12 percent). A t-test analysis revealed no significant difference in performance on the examinations between the two groups. CONCLUSION: This study did not demonstrate a learning advantage for medical students who have access to educational material on a hospital information system.
Authors: Anthony D Harris; Jessina C McGregor; Eli N Perencevich; Jon P Furuno; Jingkun Zhu; Dan E Peterson; Joseph Finkelstein Journal: J Am Med Inform Assoc Date: 2005-10-12 Impact factor: 4.497
Authors: Arindam Sarkar; Anjali Aggarwal; Larissa Grigoryan; Susan G Nash; Nidhi Mehrotra; Roger J Zoorob; William Y Huang Journal: PRiMER Date: 2021-07-02