[Show abstract][Hide abstract] ABSTRACT: Twenty-three residents from a university hospital in the Philippines were provided with iPads to determine their patterns of use during clinical rounds. Through the study period, usage logs showed that iPads were used to search for information 93 times. Most frequent queries involved diagnoses (48.4%) and therapy (37.6%). Convenience and mobility were identified as its major advantage, while slow Internet connectivity and security concerns were perceived as barriers to its use at the point-of-care.
[Show abstract][Hide abstract] ABSTRACT: Background Many clinicians depend solely on journal abstracts to guide clinical decisions.
Objectives This study aims to determine if there are differences in the accuracy of responses to simulated cases between resident physicians provided with an abstract only and those with full-text articles. It also attempts to describe their information-seeking behaviour.
Methods Seventy-seven resident physicians from four specialty departments of a tertiary care hospital completed a paper-based questionnaire with clinical simulation cases, then randomly assigned to two intervention groups—access to abstracts-only and access to both abstracts and full-text. While having access to medical literature, they completed an online version of the same questionnaire.
Findings The average improvement across departments was not significantly different between the abstracts-only group and the full-text group (p=0.44), but when accounting for an interaction between intervention and department, the effect was significant (p=0.049) with improvement greater with full-text in the surgery department. Overall, the accuracy of responses was greater after the provision of either abstracts-only or full-text (p<0.0001). Although some residents indicated that ‘accumulated knowledge’ was sufficient to respond to the patient management questions, in most instances (83% of cases) they still sought medical literature.
Conclusions Our findings support studies that doctors will use evidence when convenient and current evidence improved clinical decisions. The accuracy of decisions improved after the provision of evidence. Clinical decisions guided by full-text articles were more accurate than those guided by abstracts alone, but the results seem to be driven by a significant difference in one department.
Full-text · Article · Jul 2012 · Evidence-based medicine