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Implementation of a PDA based program to quantify urology resident in-training experience.

Andrew E MacNeily1, Chris Nguan, Kent Haden

  • 1Division of Urology, University of British Columbia, Vancouver, BC, Canada.

The Canadian Journal of Urology
|August 2, 2003
PubMed
Summary
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This study introduces a personal digital assistant (PDA) tool for tracking urology resident activities, offering objective data on training experiences and curriculum needs. The system provides insights into resident time allocation and common diagnoses encountered in urological education.

Area of Science:

  • Medical Education
  • Urology Training
  • Digital Health Tools

Background:

  • Lack of objective mechanisms for assessing resident exposure to all specialty areas.
  • Need for reliable methods to evaluate trainee experiences in urology residency programs.

Purpose of the Study:

  • To report the implementation and utility of personal digital assistants (PDAs) for documenting urology resident activities.
  • To provide an objective assessment of resident experience and identify curriculum weaknesses.

Main Methods:

  • Development of customized software with pick lists for residents to record clinical and academic activities on PDAs.
  • Categorization of activities including Ambulatory, Operative, and Academic, with subcategorization and time-tracking.
  • Synchronization of resident data with a central database via a standalone hotsync server.

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Main Results:

  • Over 8 months, 21,178 resident-hours and 5,333 activities were recorded.
  • Resident time allocation: 28% operative, 20% self-study, 19% ward work, 10% academics.
  • Most common adult diagnoses: lower urinary tract symptoms, urolithiasis, hematuria; pediatric diagnoses: neurogenic bladder, hydronephrosis, infection, hypospadias.

Conclusions:

  • The PDA tool offers objective assessment of resident experience, aiding rotation selection and curriculum improvement.
  • Applicable nationally for studying regional training differences and trends in urological education.
  • Adaptable to other medical specialty training programs with minimal modification.