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How Much Time Do Residents Spend on Inpatient Clinical Computing?
Robert Goldszer1, Navid Ajabshir1, Luigi Cubeddu1
1From the Departments of Internal Medicine, Surgery, Emergency Medicine, and Information Technology, Mount Sinai Medical Center, Miami Beach, and Nova Southeastern University, Fort Lauderdale, Florida.
Southern Medical Journal
|September 5, 2018
Summary
Emergency medicine residents spend about 3 hours daily on clinical computing, while internal medicine and general surgery residents spend about 2 hours. Time spent decreased with experience and over time, establishing a baseline for future improvements.
Area of Science:
- Medical informatics
- Healthcare management
Background:
- Physician clinical computing time is a significant factor in workflow efficiency.
- Previous studies on computing time often relied on direct observation, which may influence user behavior.
Purpose of the Study:
- To objectively evaluate the time residents spend on clinical computing.
- To establish a baseline for future interventions aimed at optimizing electronic health record (EHR) use.
Main Methods:
- Utilized an electronic health record system to automatically record clinical computing time.
- Evaluated residents across internal medicine, general surgery, and emergency medicine specialties.
- Included postgraduate year 1 (PGY1) and PGY3 residents, with data collected in July 2016 and January 2017.
Main Results:
- Emergency medicine residents averaged approximately 3 hours/day on clinical computing.
- Internal medicine and general surgery residents averaged approximately 2 hours/day.
- A decrease in computing time was observed from July to January and from PGY1 to PGY3 for internal medicine and general surgery residents.
Conclusions:
- Clinical computing time varies by medical specialty.
- Resident computing time may decrease with increased experience and over time within specific specialties.
- This study provides a valuable baseline for assessing future interventions and improving the utility of clinical computing.
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