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International journal of medical informatics v.111, 2018년, pp.51 - 57   SCI SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Quantifying medical student clinical experiences via an ICD Code Logging App

Rawlins, Fred (Simulation and Technology Center, Edward Via College of Osteopathic Medicine (VCOM), 2265 Kraft Dr, Blacksburg, VA 24060, USA ) ; Sumpter, Cameron (Center for Bioinformatics and Genetics and the Primary Care Research Network, Edward Via College of Osteopathic Medicine (VCOM), 2265 Kraft Dr, Blacksburg, VA 24060, USA ) ; Sutphin, Dean (International and Appalachian Outreach, Edward Via College of Osteopathic Medicine (VCOM), 2265 Kraft Dr, Blacksburg, VA 24060, USA ) ; Garner, Harold R. (Center for Bioinformatics and Genetics and the Primary Care Research Network, Edward Via College of Osteopathic Medicine (VCOM), 2265 Kraft Dr, Blacksburg, VA 24060, USA ) ;
  • 초록  

    Abstract Objectives The logging of ICD Diagnostic, Procedure and Drug codes is one means of tracking the experience of medical students’ clinical rotations. The goal is to create a web-based computer and mobile application to track the progress of trainees, monitor the effectiveness of their training locations and be a means of sampling public health status. Materials and Methods We have developed a web-based app in which medical trainees make entries via a simple and quick interface optimized for both mobile devices and personal computers. For each patient interaction, users enter ICD diagnostic, procedure, and drug codes via a hierarchical or search entry interface, as well as patient demographics (age range and gender, but no personal identifiers), and free-text notes. Users and administrators can review and edit input via a series of output interfaces. The user interface and back-end database are provided via dual redundant failover Linux servers. Results and discussion Students master the interface in ten minutes, and thereafter complete entries in less than one minute. Five hundred-forty 3rd year VCOM students each averaged 100 entries in the first four week clinical rotation. Data accumulated in various Appalachian clinics and Central American medical mission trips has demonstrated the public health surveillance utility of the application. Conclusion PC and mobile apps can be used to collect medical trainee experience in real time or near real-time, quickly, and efficiently. This system has collected 75,596 entries to date, less than 2% of trainees have needed assistance to become proficient, and medical school administrators are using the various summaries to evaluate students and compare different rotation sites. Highlights App quantifies medical student clinical experiences through universal ICD diagnostic and procedure codes from the WHO. App aids the school in refining the clinical experience at a plurality of rotation sites (>700) and enables sampling the public health status. App (http://icdlogger.com) created portfolio is valuable for students when applying for residencies and fellowships.


  • 주제어

    ICD codes .   Diagnosis and procedure codes .   Clinical experience .   Medical rotations .   Logging application.  

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