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At the time of this study, keeping procedure logs was the method used for ensuring competency of procedural skills.
In the first few months of the program, procedure logs were recorded by hand by the residents.
We performed a retrospective review of all resident procedure logs of the emergency medicine resident physicians at our institution.
Other self-assessment EM studies have used focus groups or self-recorded patient encounter and procedure logs to describe students' experiences [5 7].
We also sought to obtain a qualitative evaluation of the PDA system from a group of residents who had used both paper-based and PDA-based procedure logs for one year.
Another group of 11 residents who had used both handwritten and PDA procedure logs for one year each were asked to complete a questionnaire regarding their satisfaction with the PDA system.
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This electronic procedure logging system was successfully implemented and generated a large database of trainees' procedural experience.
To graduate, participants were required to attend 75% of didactic lectures, complete 180 supervised clinical hours, take a pre- and post-test, prepare and give one lecture, and submit a case and procedure log.
Of note, procedure logging was optional; mandatory use of the system may be an important consideration if training requirements change to mandate a procedure log.
This survey explored usability and satisfaction with the procedure logging system.
Procedure logging in some form may be a valuable component of such an effort.
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