Survey to assess the use of Information Technology in

Surgical training

Dr H I Ameenuddin KhanDr K Lakshman

Introduction

• Information technology (IT) is an essential tool in the process of education

• Examples – E Books– E Libraries– E Archives– E Journals– E Registries– E Applications

WHY THIS SURVEY ?

• Bangalore an IT Hub– How IT savvy are the Surgery post graduates of

Bangalore?• Assess practical use of IT in PG training.• Recognise and Promote use of sound IT

practices– Use of e journals/Archives/Publishing/Catalogue

Why this survey ?

Go e Go Green

wh@t we do…….

Our desk……

Don’t stock it….use it

Point of care referencing

Departmental communication

Technological innovations to augment current surgical training

• Augment Knowledge:– Smartphones– Mobile internet connectivity– Web 2.0

• Augment Skills– Simulators

Blackmur JP et al. Surgical training 2.0: How contemporary developments in information technology can augment surgical training. Surgeon. 2013; 11: 105-12

Questionnaire

SECTION I: DEMOGRAPHICS

SECTION II: TEACHING PROGRAMME

SECTION III: SEMINAR PRESENTATIONS

SECTION IV: STUDY MATERIAL

SECTION V: ORGANISING WARD WORK

Academics

Teaching program

Ward rounds

Work log

How do distribute your teaching programme ?

0%

50%

100%71%

33% 40%

4% 11%

45%

n =110

How do you invite residents/communicate changes in your teaching programme?

PHONE CALLS PAPERBACK CIRCULARS

SMS EMAIL INTERNET MESSENGER

WHATSAPP/VIBER/SKYPE

0%

25%

50%

75%

100%

66%

19%

64%

25%

7%

41%

n =110

Have you formed e-groups?

n =110

39%

51%

10%

YESNONO RESPONSE

Do you do e-consultation?Eg. Mail a photo of AXR to the consultant directly.

n =110

28%

65%

7%

YESNONO RESPONSE

I MAINTAIN MY LOGBOOK AS

16%

80%

4%

AN EXCEL SHEETA HARDBIND LOG BOOKNO RESPONSE

n =110

HOW DO YOU ORGANISE YOUR PATIENT DATA

MY SMARTPHONE (ANDROID, SYMBIAN, BLACKBERRY,

WINDOWS)

MY LAPTOP0%

25%

50%

75%

100%

33%

65%

Series1

I DO MY BEDSIDE REFERENCE (POINT OF CARE REFERENCE) BY USING......

GOOGLE ON MY PHONE

REFER E-BOOKS ON MY TABLET

REFER MY BEDSIDE MANUAL

0%

20%

40%

60%

80%

100%

43%36%

46%

n =110

HOW WOULD YOU PREFER YOUR TEXTBOOKS ?

AS E-BOOKS (CHM, PDF, DJVU) HARD COPIES0%

20%

40%

60%

80%

100%

40%

72%

n =110

DO YOU DOWNLOAD E-BOOKS ?

YES

NO

0% 20% 40% 60% 80% 100%

89%

7%

n =110

E-BOOKS

HOW DO YOU COLLECT REFERENCES FOR YOUR PRESENTATIONS

GENERAL WEBCONSORTIA -

HELINET/PUBMED

PRINT JOURNALS TEXTBOOKS

0%10%20%30%40%50%60%70%80%90%

100%

73%

65%

55%

76%

n =110

HOW DO PREFER TO MAKE YOUR PRESENTATIONS ?

WHITEBOARD LECTURES TRANSPARENCIES POWERPOINTS0%

20%

40%

60%

80%

100%

15%

2%

95%

n =110

HOW WOULD YOU APPROACH YOUR MODERATOR TO SUGGEST CORRECTIONS BEFORE THE SEMINAR?

0%

50%

100% 82%

35% 31%11% 8%

n =110

Whats the w@y

Forward ?

Knowledge acquisition

• Books – Long been stalwarts of learning– iBooks / E books

• Google Scholar– Locating reliable, useful information is still a challenge

for the surgical trainee.• RSS feeds– Knowledge finds you– RSS feeds with social networking – Micro-blogging

Blackmur JP et al. Surgical training 2.0: How contemporary developments in information technology can augment surgical training. Surgeon. 2013; 11: 105-12

Smartphones - Sm@rt Solutions• One recent study of Orthopaedic surgeons found 84% of responders had

smartphones.

• The resources available are

– Mobile versions of popular textbooks

– Programmes that can be used for• Calculating complex medical equations• Demonstrating examination techniques • Assisting in interpretation of investigations. eg., Ecg

– Aid physical examinations• Hearing tests• Bedside visual acuity exam

Blackmur JP et al. Surgical training 2.0: How contemporary developments in information technology can augment surgical training. Surgeon. 2013; 11: 105-12

SM@RT @PPS

Professional networking

• Web 2.0’s most visible evolution has been the development of "social networking”

• Social networking in medicine is still in its infancy but slowly developing– Meducation– Medscape– VuMedi– Doctors.net– BMJ Doc2Doc– LinkedIn– Royal Colleges and NHS Careers on TWITTERBlackmur JP et al. Surgical training 2.0: How contemporary developments in information technology can augment surgical training.

Surgeon. 2013; 11: 105-12

E catalogue

• Use of hardbind books to maintain log of our daily activities is cumbersome

• E options– E logbook – Excel– Specialized logbooks apps– Web logbooks (http://www.elogbook.org/site/849/default.aspx)

Blackmur JP et al. Surgical training 2.0: How contemporary developments in information technology can augment surgical training. Surgeon. 2013; 11: 105-12

Conclusion

In order to ensure efficient use of technology and maintain patient safety,

we must endeavour to put IT tools to optimum use.

Th@nk you

• SECTION I: DEMOGRAPHICS

– NAME – AGE – SEX – EMAIL (IF AVAILABLE) – PHONE NO/MOBILE – COURSE – CITY

SECTION II: TEACHING PROGRAMME

•

• Do you think information technology has a role in post graduate training? YES/NO• • • • How do distribute your teaching programme ?

• HARD COPY /PRINT CIRCULARS• SMS • EMAIL/OUTLOOK • GOOGLE CALENDAR • INTERNET MESSENGER (GTALK, YAHOO MSNGR, NIMBUZZ) • WHATSAPP/VIBER/SKYPE

• • How do you invite residents/communicate changes in your teaching programme?• • PHONE CALLS • PAPERBACK CIRCULARS • SMS • EMAIL • INTERNET MESSENGER • WHATSAPP/VIBER/SKYPE

SECTION III: SEMINAR PRESENTATIONS

• How do prefer to make your presentations?• • WHITEBOARD LECTURES • TRANSPARENCIES • POWERPOINTS • • • How do you collect references for your presentations ?• • GENERAL WEB • CONSORTIA - HELINET/PUBMED • TEXTBOOKS • PRINT JOURNALS•

• How would you approach your moderator to suggest corrections before the seminar?• • SHOW THE PRESENTATION IN PERSON • EMAIL THE PRESENTATION • TAKE A PRINTOUT AND SUBMIT • SHOW IT ON YOUR MOBILE/TABLET ON THE COFFEE TABLE • WE DONT HAVE ANY PRE-PRESENTATION CORRECTION

• Have you published/submitted papers/original articles/review articles/case reports? YES/NO

• How do submit your articles/papers?•

• ONLINE• HARD COPY

• Have you presented papers at conferences? YES/NO

• If yes, at what level?•

• CITY CHAPTER• STATE CONFERENCES• NATIONAL CONFERENCES

SECTION IV: STUDY MATERIAL

• Do you subscribe to online medical journal/consortia? YES/NO•

• • Does your organization subscribe to medical journal/consortia? YES/NO•

• • Do you download e-books? YES/NO• • • Do you know what RSS feeds are? YES/NO

• Do you subscribe to RSS feeds? YES/NO•

• How would you prefer your textbooks?• • AS E-BOOKS (CHM, PDF, DJVU) • HARD COPIES

SECTION V: ORGANISING WARD WORK

• I maintain my logbook as• AN EXCEL SHEET • A HARDBIND LOG BOOK • • How do you organise your patient data• (Patient info, follow up, photos)•

• MY SMARTPHONE (ANDROID, SYMBIAN, BLACKBERRY, WINDOWS) • MY LAPTOP• • I do my bedside reference (point of care reference) by using• • GOOGLE ON MY PHONE • REFER E-BOOKS ON MY TABLET • REFER MY BEDSIDE MANUAL

• Have you formed e-groups? YES/NO

• Do you do e-consultation? YES/NO• Eg. Mail a photo of a bedside ecg to the consultant directly.

• Your remarks on additional ways of employing IT for post graduate training.