Abstract
BackgroundThe progress of physicians through residency training in anesthesiology can be monitored using an online logbook. The aim of this investigation was to establish how residents record clinical activities in their computerized web-based logbooks during their first years of anesthesiology training.MethodsFor this retrospective observational trial, the ESSE 3© digital registry of the University of Modena and Reggio Emilia, Italy was used to record all anesthesia-related activities performed by three consecutive year-groups of residents (Groups A, B and C) between 2009 and 2012. The ratio of activities to sessions was chosen as a surrogate measure of compliance.ResultsA total of 41,348 actions were analyzed. The ratio of activities to sessions showed a statistically significant decline for all activities concerning the perioperative management of anesthesia, with a steady reduction from the first to the last year-group (Group A 23.7, Group B 14.1 and Group C 2.2; p = 0.003).ConclusionsAn online activities logbook is a useful tool for recording and assessing the clinical activities undertaken by each resident during residency training in anesthesiology.
Highlights
The progress of physicians through residency training in anesthesiology can be monitored using an online logbook
The institutional ethics committee at the University of Modena and Reggio Emilia (Comitato Etico Provinciale di Modena) was informed of the study and deemed not necessary any formal approval. Data for this retrospective observational investigation were acquired from the digital registry of medical activities performed during residency training in anesthesiology and intensive care medicine at the University of Modena and Reggio Emilia over three academic years: 2009–10 (Group A); 2010–11 (Group B); and 2011–12 (Group C)
The median number of anesthetic procedures entered by each resident during the observation time in Group A was 429 (IQR 185–814), 814 in Group B (IQR 326–1,110) and 517 in Group C (IQR 306–564), but these differences were not statistically significant (p = 0.28)
Summary
The progress of physicians through residency training in anesthesiology can be monitored using an online logbook The aim of this investigation was to establish how residents record clinical activities in their computerized web-based logbooks during their first years of anesthesiology training. Accurate recording of information on education, professional experience and relevant competencies is a key issue for future generations of physicians and the institutions where their training or professional activity is undertaken [1], as this information guides decisions about physicians’ accreditation and future employability, and contributes to the reputation of clinical training institutions. Educational and professional information can be organized in the form of a logbook [2], where every activity, lecture, training course or case can be entered and recorded. Logbooks are extensively used in medical education, but for many reasons, ranging from usability and ease of access to the lack of a common approach to collecting and organizing information, their implementation is far from standardized or immediately transferable between institutions
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