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Updated: Sep 25, 2026

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
Resident utilization of information technology
C H Cabell1, C Schardt, L Sanders
1Department of Medicine, Duke University School of Medicine, Durham, NC 27710, USA. chris.cabell@duke.edu
Objective:
To determine if a simple educational intervention can increase resident physician literature search activity.
Design:
Randomized controlled trial.
Setting:
University hospital-based internal medicine training program.
Patients/Participants:
Forty-eight medical residents rotating on the general internal medicine service.
Interventions:
One-hour didactic session, the use of well-built clinical question cards, and practical sessions in clinical question building.
Measurements And Main Results:
Objective data from the library information system that included the number of log-ons to medline, searching volume, abstracts viewed, full-text articles viewed, and time spent searching. Median search activity as measured per person per week (control vs intervention): number of log-ons to medline (2.1 vs 4.4, P <.001); total number of search sets (24.0 vs 74.2, P <.001); abstracts viewed (5.8 vs 17.7, P=.001); articles viewed (1.0 vs 2.6, P=.005); and hours spent searching (0.8 vs 2.4, P <.001).
Conclusions:
A simple educational intervention can markedly increase resident searching activity.
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