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MedsOnCall Pager App: A Pilot Project for Practicing Safe Clinical Decision-making
Nada Gawad1, Heather McDonald2, Isabelle Raiche3
1Surgery, University of Ottawa, Ottawa, CAN.
Cureus
|November 10, 2018
Summary
The MedsOnCall (MOC) Pager App enhances clinical decision-making for medical students and residents. This tool provides a safe environment for practicing patient management skills during the critical transition to residency.
Area of Science:
- Medical Education
- Clinical Decision-Making
- Health Informatics
Background:
- Clinical decision-making errors contribute to nearly half of in-hospital adverse events.
- The transition from medical student to resident presents a steep learning curve, increasing susceptibility to errors.
- Structured assessment of clinical decision-making skills is currently lacking.
Purpose of the Study:
- To develop and pilot the MedsOnCall (MOC) Pager App, a simulated pager tool for enhancing clinical decision-making.
- To provide a safe learning and assessment environment for senior medical students and junior residents.
- To improve preparedness for residency by practicing decision-making skills.
Main Methods:
- Development of the MedsOnCall (MOC) Pager App, a simulated pager program.
- Learners "page" virtual patients, integrating information and answering page-management questions.
- Pilot testing with fourth-year medical students and adaptation for first-year residents in a cardiac surgery bootcamp.
Main Results:
- Successful alpha-testing of the pilot app with twenty fourth-year medical students.
- Positive subjective feedback from students regarding the safe practice environment.
- App adapted for use in the National Cardiac Surgery Bootcamp with first-year residents.
Conclusions:
- The MOC Pager App shows promise as a valuable tool for medical education and assessment.
- Future plans include app rebuilding for broader, customizable use, validity evidence collection, and platform dissemination.
- The tool aims to support multidisciplinary learners globally in safe clinical decision-making practice.
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