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Medical Student Note Quality on a Pediatrics Core Clerkship Differs by Service.

Barbara D Friedes¹, Ashlyn E McRae², Jareatha Abdul-Raheem³

¹Pediatrics, Children's Hospital of Philadelphia, Philadelphia, USA.

|October 9, 2023

Summary

This summary is machine-generated.

Medical student documentation quality differs between general and subspecialty pediatric services. General pediatric notes were higher quality and shorter, indicating a need for tailored training.

Keywords:

clinical clinical documentation communication skills electronic medical record medical education pediatrics subspecialty

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Area of Science:

Medical Education
Pediatrics
Clinical Documentation

Background:

Medical students aim to master clinical documentation across various rotations.
Variations in documentation quality may exist between different pediatric services.

Purpose of the Study:

To compare the quality, length, and file time of medical student notes on inpatient general versus subspecialty pediatric services.

Main Methods:

An observational cohort study involving medical students in the Core Clerkship in Pediatrics (CCP).
Comparison of note quality (Physician Documentation Quality Instrument-9), note length (line count), and file time (hours to completion).

Main Results:

General pediatric service notes had significantly higher quality (p = 0.03) and were shorter (p < 0.001) than subspecialty notes.
No significant difference in note file time was observed between the two services (p = 0.23).

Conclusions:

Medical student notes on pediatric subspecialty services were of lower quality and longer than those on general pediatric services.
This highlights the need for a specialized curriculum and note templates tailored to specific pediatric services.