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 |