Subscribe to RSS
Medical Student AppraisalElectronic Resources for Inpatient Pre-Rounding
16 May 2013
accepted: 02 August 2013
16 December 2017 (online)
Background: Pre-rounding is essential to preparing for morning rounds. Despite its importance, pre-rounding is rarely formally taught within the medical school curriculum and more often informally learned by modeling residents. The evolution of mobile applications provides opportunities to optimize this process.
Objectives: To evaluate three options available to medical students while pre-rounding and promote adoption of mobile resources in clinical care.
Methods: Six medical students formed the evaluation cohort. Students were surveyed to assess pre-rounding practices. Participants utilized paper-based pre-rounding templates for two weeks followed by two weeks of the electronic note-taking service EvernoteTM. A review of mobile applications on the iTunesTM and Google PlayTM stores was performed, with each application informally reviewed by a single student. The application ScutsheetTM was selected for formal review by all students. Data was collected from narrative responses supplied by students throughout the evaluation periods and aggregated to assess strengths and limitations of each application.
Results: Pre-study responses demonstrated two consistent processes: verbal sign-out of overnight events and template use to organize patient information. The paper-based template was praised for its organization and familiarity amongst residents, but perceived as limited by the requirement of re-copying data into the hospital’s electronic medical record (EMR). EvernoteTM excelled due to compatibility across multiple operating systems, including accessibility from clinical workstations and ability to copy notes into the hospital’s EMR. ScutsheetTM allowed for retention of data across multiple hospital days, but was limited by inability to export data or modify the electronic template. Aggregated user feedback identified the abilities to customize templates and copy information into the EMR as two prevailing characteristics that enhanced the efficiency of pre-rounding.
Discussion: Mobile devices offer the potential to enhance pre-rounding efficiency for medical students and residents. A customizable EvernoteTM-based system is described in sufficient detail for reproduction by interested students.
- 1 Desai S, Katta R. Success on the Wards: 250 Rules for Clerkship Success.. Houston, TX: MD2B; 2011
- 2 Kochendorfer KM, Morris LE, Kruse RL, Ge B, Mehr DR. Attending and Resident Physician Perceptions of an EMR-generated Rounding Report for Adult Inpatient Services.. Fam Med. 2010; May 42: 343-9. PMID: 20461566.
- 3 Wohlauer M. et al. The Computerized Rounding Report: Implementation of a Model System to Support Transitions of Care.. J Surg Res 2012; 172: 11-17. doi: 10.1016/j.jss.2011.04.015.
- 4 Ozdalga E, Ozdalga A, Ahuja N. The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians and Students.. J Med Internet Res 2012; Sep 27 14: e128. PMID: 23017375.
- 5 Medfools.. Medicine Scutsheet Style 2.. Medfools.com ; Accessed May 5, 2013. Available at: www.medfools.com.
- 6 Evernote.. Redwood City, CA: Evernote Corporation; Accessed May 5, 2013.. Available at: http://ever-note.com/evernote.
- 7 Scutsheet.. Ellipticase LLC; Accessed May 5, 2013.. Available at: www.ellipticase.com.
- 8 Penultimate.. Redwood City, CA: Evernote Corporation; Accessed May 5, 2013.. Available at: http://ever-note.com/penultimate.
- 9 Horowitz B. iPad Program Launches at University of Pennsylvania Medical School.. eWeek 2012. Accessed May 5, 2013. Available at: http://www.eweek.com/c/a/Health-Care-IT/iPad-Pilot-Launches-at-University-of-Pennsylvania-Medical-School-853103.
- 10 Smith S. Yale Medical School iPad Program.. 2012. Accessed May 5, 2013. Available at: http://clc.yale.edu/2012/04/03/yale-medical-school-ipad-program.
- 11 Watson K. iPad Apps for Medical Students.. University of Minnesota Medical Education; 2011. Accessed May 5, 2013. Available at: https://www.meded.umn.edu/students/ipad_apps.php.
- 12 Yoo S. et al. Implementation Issues of Virtual Desktop Infrastructure and Its Case Study for a Physician’s Round at Seoul National University Bundang Hospital.. Healthc Inform Res 2012; 18: 259-565. doi: 10.4258/hir.2012.18.4.259.
- 13 Aguilar M. Google’s Note-Taking Service Keep Is Live, And It’s Wonderful.. Gizmodo; 2013. Accessed May 5, 2013. Available at: http://gizmodo.com/5991578/googles-note-taking-service-keep-is-live-again-fornow.
- 14 Blackbourne L. Surgical Recall.. Philidelphia, PA: Lippincott Williams & Wilkins; 2012
- 15 Kaufman M, Stead L, Stead S, Mishra N. First Aid for the Surgery Clerkship:. The McGraw-Hill Companies, Inc.; 2003
- 16 Gross D. 50 million compromised in Evernote hack.. CNN Tech; 2013. Accessed May 5, 2013. Available at: http://www.cnn.com/2013/03/04/tech/web/evernote-hacked.