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A paediatric cardiology handbook for the digital age

Published online by Cambridge University Press:  06 August 2021

Ellis Rochelson*
Affiliation:
Division of Pediatric Cardiology, Baylor College of Medicine, Texas Children’s Hospital, Houston, TX, USA
Bradley C. Clark
Affiliation:
Division of Cardiology, Children’s Hospital at Montefiore, Bronx, NY, USA
Kara S. Motonaga
Affiliation:
Division of Pediatric Cardiology, Stanford University, Palo Alto, CA, USA
*
Author for correspondence: E. Rochelson, MD, Division of Pediatric Cardiology, Baylor College of Medicine, Texas Children’s Hospital, Houston, TX, USA. Tel: +1 (516) 448-2313. E-mail: [email protected]

Abstract

Introduction:

Paediatric cardiology fellows, tasked with studying a large and dynamic field, may benefit from a quick-access digital resource that reflects contemporary practice. The objective of this study was to evaluate the effectiveness of a paediatric cardiology handbook smartphone app in enhancing the accessibility of information such as guidelines and recommendations for paediatric cardiology fellows.

Materials and methods:

The Peds Cardiology Handbook app (iOS) was designed using XCode and Swift programming. A pre-app survey and download instructions were sent to the US paediatric cardiology fellows, followed by a post-app survey. Fellows were asked to rate the ease of rapid access to various types of information. Responses were compared pre- and post-app using McNemar’s test and Wilcoxon signed-rank test.

Results:

Two-hundred and thirty paediatric cardiology fellows were contacted; 23% (n = 53) completed both the pre- and post-app surveys and were included for analysis. After using the app, fellows found it easier to quickly access information in eight out of nine domains evaluated (p < 0.05). All fellows found the app easy to use (100%), most felt that the app was well-organised (98%), contained reliable information (92%), and was useful for finding quick answers to clinical questions (87%).

Discussion:

The Peds Cardiology Handbook iPhone app is a useful, reliable tool that provides quick access to high-yield information, including guidelines and references. Overall, paediatric cardiology fellows found it easier to rapidly access clinically relevant information after using the app. Future studies may be necessary to evaluate long-term use and impact on evidence-based practice.

Type
Original Article
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Jyothi, S, Halton, F, Goodyear, H. Use of smartphone apps by paediatric trainees. Br J Hosp Med (Lond) 2015; 76: 475–7. DOI 10.12968/hmed.2015.76.8.475.CrossRefGoogle ScholarPubMed
Valle, J, Godby, T, Paul, DP, Smith, H, Coustasse, A. Use of smartphones for clinical and medical education. Health Care Manag (Frederick) 2017; 36: 293300. DOI 10.1097/hcm.0000000000000176.CrossRefGoogle ScholarPubMed
Mosa, AS, Yoo, I, Sheets, L. A systematic review of healthcare applications for smartphones. BMC Med Inform Decis Mak 2012; 12: 67. DOI 10.1186/1472-6947-12-67.CrossRefGoogle ScholarPubMed
Lewis, AB, Martin, GR, Bartz, PJ, et al. Task force 1: pediatric cardiology fellowship training in general cardiology. SPCTPD/ACC/AAP/AHA. Circulation 2015; 132: e48e56. DOI 10.1161/cir.0000000000000192.CrossRefGoogle ScholarPubMed
Srivastava, S, Printz, BF, Geva, T, et al. Task force 2: pediatric cardiology fellowship training in noninvasive cardiac imaging. SPCTPD/ACC/AAP/AHA. Circulation 2015; 132: e57e67. DOI 10.1161/cir.0000000000000193.CrossRefGoogle ScholarPubMed
Armsby, LB, Vincent, RN, Foerster, SR, et al. Task force 3: pediatric cardiology fellowship training in cardiac catheterization. SPCTPD/ACC/AAP/AHA. Circulation 2015; 132: e68e74. DOI 10.1161/cir.0000000000000194.CrossRefGoogle ScholarPubMed
Dubin, AM, Walsh, EP, Franklin, W, et al. Task force 4: pediatric cardiology fellowship training in electrophysiology. SPCTPD/ACC/AAP/AHA. Circulation 2015; 132: e75e80. DOI 10.1161/cir.0000000000000195.CrossRefGoogle ScholarPubMed
Feltes, TF, Roth, SJ, Almodovar, MC, et al. Task force 5: pediatric cardiology fellowship training in critical care cardiology. J Am Coll Cardiol 2015; 66: 712722. DOI 10.1016/j.jacc.2015.03.008.CrossRefGoogle ScholarPubMed
Stout, K, Valente, AM, Bartz, PJ, et al. Task force 6: pediatric cardiology fellowship training in adult congenital heart disease. SPCTPD/ACC/AAP/AHA. Circulation 2015; 132: e91e98. DOI 10.1161/cir.0000000000000197.CrossRefGoogle ScholarPubMed
Webber, SA, Hsu, DT, Ivy, DD, et al. Task force 7: pediatric cardiology fellowship training in pulmonary hypertension, advanced heart failure, and transplantation. SPCTPD/ACC/AAP/AHA. Circulation 2015; 132: e99e106. DOI 10.1161/cir.0000000000000198.CrossRefGoogle ScholarPubMed
Dayton, JD, Groves, AM, Glickstein, JS, Flynn, PA. Effectiveness of echocardiography simulation training for paediatric cardiology fellows in CHD. Cardiol Young 2018; 28: 611615. DOI 10.1017/s104795111700275x.CrossRefGoogle ScholarPubMed
McBride, ME, Beke, DM, Fortenberry, JD, et al. Education and training in pediatric cardiac critical care. World J Pediatr Congenit Heart Surg 2017; 8: 707714. DOI 10.1177/2150135117727258.CrossRefGoogle ScholarPubMed
Sacks, LD, Axelrod, DM. Virtual reality in pediatric cardiology: hype or hope for the future? Curr Opin Cardiol 2020; 35: 3741. DOI 10.1097/hco.0000000000000694.CrossRefGoogle ScholarPubMed
Pearson, GD, Kaltman, JR, Lauer, MS. Evidence-based medicine comes of age in pediatric cardiology. J Am Coll Cardiol 2013; 61: 25652567. DOI 10.1016/j.jacc.2013.03.054.CrossRefGoogle ScholarPubMed
Clarke-Myers, K, Cooper, DS, Hanke, SP, et al. Development of a system to measure and improve outcomes in congenital heart disease: heart institute safety, quality, and value program. Jt Comm J Qual Patient Saf 2019; 45: 495501. DOI 10.1016/j.jcjq.2019.04.003.Google ScholarPubMed