. 2017 Sep 21;12(9):e0185052. doi: 10.1371/journal.pone.0185052

Table 2. Overall average documentation by resident year.

Preferred Practice Pattern Element	% Documentation
Preferred Practice Pattern Element	All Years (n = 331)	First Year (PGY2) (n = 146)	Second Year (PGY3) (n = 63)	Third Year (PGY4) (n = 122)	p
*History*
Ocular signs and symptoms	96.36	98.62	95.24	94.26	0.998
Exacerbating conditions	73.03	79.31	76.19	63.93	0.674
Duration of symptoms	80.61	81.38	76.19	81.67	0.231
Ocular medications and effect on symptoms	80.36	87.67	71.43	76.23	0.247
Ocular surface disease	86.40	91.10	80.95	83.61	0.909
Ocular trauma	86.40	91.10	80.95	93.61	0.909
Ocular surgical history	86.40	91.10	80.95	83.61	0.909
Contact lens wear	26.67	15.18	30.16	38.52	0.617
Facial washing (eyelash and eyelid hygiene)	1.52	1.38	1.59	1.64	0.766
Systemic medications	92.15	89.04	93.65	95.08	0.160
Systemic medical history	96.08	96.58	96.83	95.08	0.139
Systemic surgical history	96.07	96.58	96.83	95.08	0.139
Allergies	93.05	93.15	93.65	92.62	0.636
Menopause	0.0^a	0.0^a	0.0^a	0.0^a	N/A^a
Smoking exposure	91.54	97.26	85.71	87.70	0.640
Total History Documentation	74.06	75.73	72.62	72.81	0.943
*Physical Exam*
Best corrected visual acuity	96.97	95.86	96.83	98.36	0.677
Skin examination	80.66	93.84	61.90	74.59	0.688
Cranial nerve examination	0.0	0.0	0.0	0.0	N/A
Eyelids and eyelashes	97.89	99.32	96.83	96.72	0.587
Adnexa	31.12	6.85	49.21	50.82	0.899
Puncta	31.12	6.85	49.21	50.82	0.899
Proptosis	31.12	6.85	49.21	50.82	0.899
Conjunctiva	99.70	99.32	100	100	0.437
Cornea	99.70	99.32	100	100	0.437
Tear film	99.70	99.32	100	100	0.437
Total Physical Exam Documentation	66.78	60.72	70.32	72.21	0.943
*Care Management*
Address contributing factors	70.10	76.03	74.60	60.66	0.629
*Patient Education*
Counsel on chronic nature	3.32	2.05	15.87	5.74	0.104
Instructions on treatment regimen	99.10	98.63	100	99.18	0.699
Refer if systemic symptoms are present	66.67 ^b	66.67^b	N/A^b	N/A^b	N/A^b
Caution that LASIK may worsen symptoms	N/A^c	N/A^c	N/A^c	N/A^c	N/A^c
Total Patient Education Documentation	66.78	60.72	60.32	72.21	0.277
*All Elements*
Total Documentation	69.62	68.44	70.28	70.69	0.946

^aOnly the 229 female patients included in this study were analyzed for documentation of menopause (100 for PGY-2, 38 for PGY-3, 91 for PGY-4).

^bOnly three of the patients included in this study were analyzed for documentation of referral in the case that systemic symptoms were present (three for PGY-2).

^cElement was not analyzed as no patients included in this study were considering LASIK.