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Quantifying medical student clinical experiences via an ICD Code Logging App.

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A new web and mobile app efficiently tracks medical trainee experiences using ICD codes, aiding progress monitoring and public health surveillance. This system allows real-time data collection for evaluating training and comparing sites.

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Area of Science:

  • Medical Informatics
  • Public Health Surveillance
  • Medical Education Technology

Background:

  • Tracking medical student clinical rotation experience is crucial for assessing training effectiveness.
  • Existing methods for logging International Classification of Diseases (ICD) diagnostic, procedure, and drug codes can be time-consuming.
  • There is a need for efficient, real-time data collection tools for medical trainees.

Purpose of the Study:

  • To develop a web-based application accessible on computers and mobile devices for tracking medical trainee progress.
  • To monitor the effectiveness of clinical training locations.
  • To utilize collected data for public health status sampling and surveillance.

Main Methods:

  • Developed a user-friendly, web-based application with an interface optimized for both mobile and personal computers.
  • Trainees input patient data including ICD diagnostic, procedure, and drug codes, demographics (age range, gender), and free-text notes.
  • Utilized a hierarchical or search entry interface for data input, with administrative review and editing capabilities.

Main Results:

  • The application interface is mastered in under ten minutes, with entries completed in less than one minute.
  • Over 75,000 entries have been collected from 540 third-year students during a four-week rotation.
  • Data from diverse settings, including Appalachian clinics and Central American missions, highlights public health surveillance utility.

Conclusions:

  • Web and mobile applications offer a quick and efficient method for real-time collection of medical trainee experience data.
  • The system demonstrates high user proficiency with minimal assistance required (<2%).
  • Medical school administrators utilize the application's summaries for student evaluation and comparison of rotation sites.