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This study implemented and evaluated a point-of-care, wireless Internet access using smart …


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Tables
- Evidence-based medicine among internal medicine residents in a community hospital program using smart phones

Table 1
Pre-study survey. Proportion of the Internet access by location.
Internet Access
PostPGY1 (n = 36) %
Interns (n = 24) %
Home
45%
68%
Hospital – Office
55%
32%
Desktop
91%
85%
Mobile Computer
9%
15%
Table 2
Pre-study survey. Daily Internet usage.
Daily Internet Usage
PostPGY1 (n = 36) n (%)
Interns (n = 21) n (%)
19 (53%)
12 (57%)
5–10 times/day
14 (39%)
7 (33%)
> 10 times/day
3 (8%)
2 (10%)
Table 3
Pre-study survey. Approximate number of hours on the Internet.
Daily Internet Usage
PostPGY1 (n = 36) n (%)
Interns (n = 21) n (%)
3 (8%)
0
1–2 hours/day
23 (64%)
15 (71%)
>2 hours/day
10 (28%)
6 (29%)
Table 4
Pre-study survey. Reported proportion of the tasks done on the Internet.
Internet Usage
PostPGY1 (n = 36) % time
Interns (n = 24) % time
Personal information (includes e-mail)
22%
43%
Patient information (laboratory, test results)
30%
14%
General scientific information (medical knowledge)
23%
34%
Specific patient management questions
19%
9%
Others
6%
1%
Table 5
Pre-study survey. Websites used to search for general medical and scientific information.
Website
PostPGY1 (n = 36) n (%)
Interns (n = 22) n (%)
UpToDate
18 (50%)
9 (41%)
Google
18 (50%)
8 (36%)
MDConsult
18 (50%)
5 (23%)
PubMed
18 (50%)
5 (23%)
NEJM
17 (47%)
3 (13%)
eMedicine
14 (38%)
9 (41%)
Yahoo
0
6 (27%)
Table 6
Pre-study survey. Websites accessed for specific questions on patient management.
Website
PostPGY1 (n = 33) n (%)
Interns (n = 18) n (%)
UpToDate
18 (54%)
12 (66%)
Google
11 (33%)
1 (5%)
NEJM
10 (30%)
3 (16%)
PubMed
9 (27%)
5 (28%)
MDConsult
9 (27%)
6 (33%)
eMedicine
4 (12%)
3 (16%)
Table 7
Pre-study survey. Most common "EBM" resources cited.
Website
PostPGY1 (n = 27) n (%)
Interns (n = 12) n (%)
UpToDate
13 (48%)
5 (42%)
NEJM
13 (48%)
4 (33%)
PubMed
8 (30%)
5 (42%)
MDConsult
7 (26%)
5 (42%)
Table 8
Pre-study survey. Areas of interest on medical Internet training.
Internet training Area of Interest
PostPGY1 (n = 35) n (%)
Interns (n = 24) n (%)
Medical Knowledge
31 (89%)
22 (92%)
Clinical practice tools
28 (80%)
19 (79%)
EBM resources
31 (89%)
18 (75%)
Web pages design
11 (31%)
5 (21%)
Other
0
1 (4%)
Table 9
Pre-study PDA survey. Ownership and usage.
PDA Usage
PostPGY1 (n = 36) n (%)
Interns (n = 24) n (%)
PDA owners
16 (44%)
4 (17%)
Owned PDA > 1 year
10 (62%)
0
Owned PDA 6 (38%)
4 (100%)
Training on PDAs use
none
none
Daily users
13 (81%)
2 (50%)
Using > 10 times/day
2 (12%)
1 (25%)
Use 5–10 times/day
8 (50%)
0
Use 3 (19%)
1 (25%)
Table 10
Pre-study PDA survey. Reported uses of PDAs.
PDA usage
PostPGY1 (n = 16) n (%)
Interns (n = 1) n (%)
Pharmacopoeias
16 (100%)
1 (100%)
Medical books
14 (88%)
1 (100%)
Clinical tools
7 (44%)
1 (100%)
Calculator
7 (44%)
0
Address book
6 (38%)
0
Date book – Schedules
4 (25%)
1 (100%)
Text processing
1 (6%)
0
E-mail or Internet
1 (6%)
0
Patients' tracking
0
0
Table 11
Smart phones usage evaluation. How often the information was found on the Internet?
Information found
PostPGY1 (n = 13) n (%)
Interns (n = 18) n (%)
Always
0
3 (17%)
Frequently
6 (46%)
12 (66%)
Sometimes
7 (54%)
3 (17%)
Rarely
0
0
Never
0
0
Table 12
Smart phones usage evaluation. How often did the information have an impact in the diagnostic or management process?
Perceived impact in diagnosis or management
PostPGY1 (n = 13) n (%)
Interns (n = 18) n (%)
Always
0
0
Frequently
5 (38%)
11 (62%)
Sometimes
8 (62%)
5 (28%)
Rarely
0
1 (5%)
Never
0
1 (5%)
Table 13
Monthly access to NLM server by resource from August 2005 to February 2006.
Month
askMedline n (%)
Disease Associations n (%)
PICO n (%)
Total (100%)
August
21 (17%)
55 (45%)
46 (38%)
122
September
9 (23%)
5 (13%)
25 (64%)
39
October
8 (14%)
23 (40%)
27 (46%)
58
November
2 (18%)
1 (9%)
8 (73%)
11
December
15 (11%)
40 (31%)
76 (58%)
131
January
17 (11%)
69 (45%)
66 (44%)
152
February
16 (48%)
10 (30%)
7 (22%)
33
Total
88 (16%)
203 (37%)
255 (47%)
546
Values are number of searches logged at the NLM "PubMed for Handhelds" server only.

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