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

Barbara D Friedes; Ashlyn E McRae; Jareatha Abdul-Raheem; Eric Balighian; William Golden; Amit K Pahwa

doi:10.7759/cureus.44740

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

Cureus. 2023 Sep 5;15(9):e44740. doi: 10.7759/cureus.44740. eCollection 2023 Sep.

Authors

Barbara D Friedes¹, Ashlyn E McRae², Jareatha Abdul-Raheem³, Eric Balighian⁴, William Golden⁴, Amit K Pahwa⁵

Affiliations

¹ Pediatrics, Children's Hospital of Philadelphia, Philadelphia, USA.
² Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, USA.
³ Pediatrics, Johns Hopkins University School of Medicine, Baltimore, USA.
⁴ Pediatrics, Johns Hopkins University, Baltimore, USA.
⁵ Internal Medicine - Pediatrics, Johns Hopkins University, Baltimore, USA.

Abstract

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.

Keywords: clinical; clinical documentation; communication skills; electronic medical record; medical education; pediatrics; subspecialty.