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

Table 2. Comparison of medical student notes on general pediatric and pediatric subspecialty inpatient services by the type of note template utilized to evaluate note quality (by Physician Documentation Quality Instrument-9 (PDQI9) assessment), note file time, and note length.

  Core Clerkship in pediatrics template notes Resident template notes
  General pediatrics (n = 59) Median (IQR) Pediatric subspecialty (n = 13) Median (IQR) Mann Whitney U Test P-Value General pediatrics (n=25) Median (IQR) Pediatric subspecialty (n=37) Median (IQR) Mann Whitney U Test P-Value
PDQI9 Up to Date 4 (4-5) 4 (4-4) 0.555 5 (4-5) 4 (4-5) 0.02*
PDQI9 Accurate 4 (4-5) 4 (4-5) 0.913 5 (4-5) 4 (4-5) 0.13
PDQI9 Thorough 4 (3-4) 4 (3-4) 0.225 4 (4-5) 4 (4-4) 0.13
PDQI9 Useful 4 (3-4) 3 (3-4) 0.278 4 (3-5) 3 (3-4) 0.007*
PDQI9 Organized 4 (4-5) 4 (3.5-5) 0.894 5 (4-5) 4 (3-4) 0.002*
PDQI9 Comprehensible 4 (4-4) 4 (3-4) 0.708 4 (4-4) 4 (3-4) 0.04*
PDQI9 Succinct 4 (3-5) 4 (3-5) 0.718 5 (4-5) 4 (3-4) <0.001*
PDQI9 Synthesized 4 (3-4) 4 (3-4) 0.958 4 (4-4) 4 (3-4) 0.08
PDQI9 Internally Consistent 4 (4-4) 4 (4-4) 0.513 4 (4-5) 4 (4-4) 0.10
PDQI9 Total Score 35 (32-37) 34 (32-38.5) 0.769 39 (35-43) 34 (32-37.5) 0.001*
File time (hours since 6:00 AM) 4.38 (2.78-5.63) 4.78 (3.44-5.65) 0.731 4.73 (3.62-5.93) 4.97 (4.01-5.67) 0.54
Note line count 72 (57-94) 77 (58-131) 0.431 143 (121-162) 150 (118.5-176.5) 0.42
PDQI9: Physician Documentation Quality Instrument-9, IQR: interquartile range between the 25th and 75th percentile, *p-value < 0.05