OBJECTIVE: To evaluate the feasibility of incorporating hand-held computing technology in a surgical residency program, by means of hand-held devices for surgical procedure logging linked through the Internet to a central database. SETTING: Division of General Surgery, University of Toronto. DESIGN: A survey of general surgery residents. METHODS: The 69 residents in the general surgery training program received hand-held computers with preinstalled medical programs and a program designed for surgical procedure logging. Procedural data were uploaded via the Internet to a central database. Survey data were collected regarding previous computer use as well as previous procedure logging methods. MAIN OUTCOME MEASURE: Utilization of the procedure logging system. RESULTS: After a 5-month pilot period, 38% of surgical residents were using the procedure-logging program successfully and on a regular basis. Program use was higher among more junior trainees. Analysis of the database provided valuable information on individual trainees, hospital programs and supervising surgeons, data that would assist in program development. CONCLUSIONS: Hand-held devices can be implemented in a large division of general surgery to provide a reference database and a procedure-logging platform. However, user acceptance is not uniform and continued training and support are necessary to increase acceptance. The procedure database provides important information for optimizing trainees' educational experience.
OBJECTIVE: To evaluate the feasibility of incorporating hand-held computing technology in a surgical residency program, by means of hand-held devices for surgical procedure logging linked through the Internet to a central database. SETTING: Division of General Surgery, University of Toronto. DESIGN: A survey of general surgery residents. METHODS: The 69 residents in the general surgery training program received hand-held computers with preinstalled medical programs and a program designed for surgical procedure logging. Procedural data were uploaded via the Internet to a central database. Survey data were collected regarding previous computer use as well as previous procedure logging methods. MAIN OUTCOME MEASURE: Utilization of the procedure logging system. RESULTS: After a 5-month pilot period, 38% of surgical residents were using the procedure-logging program successfully and on a regular basis. Program use was higher among more junior trainees. Analysis of the database provided valuable information on individual trainees, hospital programs and supervising surgeons, data that would assist in program development. CONCLUSIONS: Hand-held devices can be implemented in a large division of general surgery to provide a reference database and a procedure-logging platform. However, user acceptance is not uniform and continued training and support are necessary to increase acceptance. The procedure database provides important information for optimizing trainees' educational experience.
Authors: Sandra Fischer; Thomas E Stewart; Sangeeta Mehta; Randy Wax; Stephen E Lapinsky Journal: J Am Med Inform Assoc Date: 2003 Mar-Apr Impact factor: 4.497
Authors: Stephen E Lapinsky; Randy Wax; Randy Showalter; J Carlos Martinez-Motta; David Hallett; Sangeeta Mehta; Lisa Burry; Thomas E Stewart Journal: Crit Care Date: 2004-10-14 Impact factor: 9.097
Authors: Anna M Lindquist; Pauline E Johansson; Göran I Petersson; Britt-Inger Saveman; Gunilla C Nilsson Journal: J Med Internet Res Date: 2008-10-28 Impact factor: 5.428
Authors: J Carlos Martinez-Motta; Robin Walker; Thomas E Stewart; John Granton; Simon Abrahamson; Stephen E Lapinsky Journal: Crit Care Date: 2004-08-18 Impact factor: 9.097