Digital Professionalism in Patient Care: A Case-Based Survey of Surgery Faculty and Trainees.
Adult
Ethics, Medical
Faculty, Medical
/ ethics
Female
Humans
Information Seeking Behavior
/ ethics
Internship and Residency
/ ethics
Male
Middle Aged
Physician-Patient Relations
/ ethics
Pilot Projects
Professionalism
/ ethics
Smartphone
/ ethics
Students, Medical
/ statistics & numerical data
Surveys and Questionnaires
/ statistics & numerical data
Teaching Rounds
/ ethics
Digital devices
Patient care
Patient-physician communication
Professionalism
Smartphone
Journal
The Journal of surgical research
ISSN: 1095-8673
Titre abrégé: J Surg Res
Pays: United States
ID NLM: 0376340
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
31
01
2020
revised:
13
03
2020
accepted:
27
03
2020
pubmed:
8
5
2020
medline:
28
10
2020
entrez:
8
5
2020
Statut:
ppublish
Résumé
Use of digital devices have become ubiquitous in healthcare and can create professionalism issues. This study presents opinions of faculty, residents, and medical students to inform policy on the appropriate use of digital devices in the patient care setting. A survey was administered from September 2018 to October 2018 to faculty and residents within the general surgery department at a large academic medical center and all fourth-year medical students at an affiliated university. The survey included direct statements and case-based scenarios on similar themes to triangulate responses. There were 114 participants in the survey-50 faculty, 26 residents, and 38 medical students. Digital device utilization was equivalent among all groups, and all participants use a smartphone. Digital devices were most frequently used during rounds and clinical conferences. Overall, digital device use was found more appropriate when seen in the case-based format rather than as a direct statement. Furthermore, use of these devices was seen as most appropriate when the provider explained its use or left the room to use the device. Digital devices are used by faculty and trainees at similar rates for parallel purposes, and the benefits for patient-related care are evident. However, the use of digital devices in the presence of patients should be minimized and always preceded by an explanation. These findings can inform institutional policy when creating guidelines on the professional use of these devices in the patient care setting.
Sections du résumé
BACKGROUND
Use of digital devices have become ubiquitous in healthcare and can create professionalism issues. This study presents opinions of faculty, residents, and medical students to inform policy on the appropriate use of digital devices in the patient care setting.
MATERIALS AND METHODS
A survey was administered from September 2018 to October 2018 to faculty and residents within the general surgery department at a large academic medical center and all fourth-year medical students at an affiliated university. The survey included direct statements and case-based scenarios on similar themes to triangulate responses.
RESULTS
There were 114 participants in the survey-50 faculty, 26 residents, and 38 medical students. Digital device utilization was equivalent among all groups, and all participants use a smartphone. Digital devices were most frequently used during rounds and clinical conferences. Overall, digital device use was found more appropriate when seen in the case-based format rather than as a direct statement. Furthermore, use of these devices was seen as most appropriate when the provider explained its use or left the room to use the device.
CONCLUSIONS
Digital devices are used by faculty and trainees at similar rates for parallel purposes, and the benefits for patient-related care are evident. However, the use of digital devices in the presence of patients should be minimized and always preceded by an explanation. These findings can inform institutional policy when creating guidelines on the professional use of these devices in the patient care setting.
Identifiants
pubmed: 32380345
pii: S0022-4804(20)30191-8
doi: 10.1016/j.jss.2020.03.057
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
193-200Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.