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

Introduction Medical students rotate on various clinical disciplines with the same professional goal of learning medical documentation. This study investigated differences between medical student notes on inpatient general and subspecialty pediatric services by comparing note quality, length, and fi...

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Autores principales: Friedes, Barbara D, McRae, Ashlyn E, Abdul-Raheem, Jareatha, Balighian, Eric, Golden, William, Pahwa, Amit K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557370/
https://www.ncbi.nlm.nih.gov/pubmed/37809116
http://dx.doi.org/10.7759/cureus.44740
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author Friedes, Barbara D
McRae, Ashlyn E
Abdul-Raheem, Jareatha
Balighian, Eric
Golden, William
Pahwa, Amit K
author_facet Friedes, Barbara D
McRae, Ashlyn E
Abdul-Raheem, Jareatha
Balighian, Eric
Golden, William
Pahwa, Amit K
author_sort Friedes, Barbara D
collection PubMed
description Introduction Medical students rotate on various clinical disciplines with the same professional goal of learning medical documentation. This study investigated differences between medical student notes on inpatient general and subspecialty pediatric services by comparing note quality, length, and file time. Methods In a single-site, observational cohort study, medical students in the Core Clerkship in Pediatrics (CCP) from July 2020 to June 2021 participated in a note-writing didactic course. We compared notes from medical students completing their inpatient assignment on a general pediatric service to those who completed it on a pediatric subspecialty service. Primary outcomes were note quality measured by Physician Documentation Quality Instrument-9 (PDQI9), note length (measured by line count), and file time (measured by hours to completion since 6 AM on the morning of note initiation). Results We evaluated 84 notes from 84 medical students on the general pediatric services and 50 notes from 49 medical students on the pediatric subspecialty services. Note quality measured by PDQI9 was significantly higher for general pediatric service notes compared to pediatric subspecialty service notes (p = 0.03). General pediatric service notes were significantly shorter (p < 0.001). We found no difference in file time (p = 0.23). Conclusion Medical student notes on pediatric subspecialty services scored significantly lower in quality and were longer compared to general pediatric services, demonstrating the need for a more tailored note-writing curriculum and note template based on service.
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spelling pubmed-105573702023-10-07 Medical Student Note Quality on a Pediatrics Core Clerkship Differs by Service Friedes, Barbara D McRae, Ashlyn E Abdul-Raheem, Jareatha Balighian, Eric Golden, William Pahwa, Amit K Cureus Medical Education Introduction Medical students rotate on various clinical disciplines with the same professional goal of learning medical documentation. This study investigated differences between medical student notes on inpatient general and subspecialty pediatric services by comparing note quality, length, and file time. Methods In a single-site, observational cohort study, medical students in the Core Clerkship in Pediatrics (CCP) from July 2020 to June 2021 participated in a note-writing didactic course. We compared notes from medical students completing their inpatient assignment on a general pediatric service to those who completed it on a pediatric subspecialty service. Primary outcomes were note quality measured by Physician Documentation Quality Instrument-9 (PDQI9), note length (measured by line count), and file time (measured by hours to completion since 6 AM on the morning of note initiation). Results We evaluated 84 notes from 84 medical students on the general pediatric services and 50 notes from 49 medical students on the pediatric subspecialty services. Note quality measured by PDQI9 was significantly higher for general pediatric service notes compared to pediatric subspecialty service notes (p = 0.03). General pediatric service notes were significantly shorter (p < 0.001). We found no difference in file time (p = 0.23). Conclusion Medical student notes on pediatric subspecialty services scored significantly lower in quality and were longer compared to general pediatric services, demonstrating the need for a more tailored note-writing curriculum and note template based on service. Cureus 2023-09-05 /pmc/articles/PMC10557370/ /pubmed/37809116 http://dx.doi.org/10.7759/cureus.44740 Text en Copyright © 2023, Friedes et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Medical Education
Friedes, Barbara D
McRae, Ashlyn E
Abdul-Raheem, Jareatha
Balighian, Eric
Golden, William
Pahwa, Amit K
Medical Student Note Quality on a Pediatrics Core Clerkship Differs by Service
title Medical Student Note Quality on a Pediatrics Core Clerkship Differs by Service
title_full Medical Student Note Quality on a Pediatrics Core Clerkship Differs by Service
title_fullStr Medical Student Note Quality on a Pediatrics Core Clerkship Differs by Service
title_full_unstemmed Medical Student Note Quality on a Pediatrics Core Clerkship Differs by Service
title_short Medical Student Note Quality on a Pediatrics Core Clerkship Differs by Service
title_sort medical student note quality on a pediatrics core clerkship differs by service
topic Medical Education
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557370/
https://www.ncbi.nlm.nih.gov/pubmed/37809116
http://dx.doi.org/10.7759/cureus.44740
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