ARTICLE: Fellow Education Improved Through Mobile Clinical Decision Support Application: A Multi Center Approach Involving Peri-Procedural Antithrombotic Use

AUTHORS: Alexandra T. Strauss, Theodore W. James and Simon C. Mathews

JOURNAL: Gastroenterology. 2018 Dec;155(6):2014-2015. doi: 10.1053/j.gastro.2018.08.034. Epub 2018 Aug 27.

The number and complexity of procedures performed by gastroenterologists are increasing in the United States. In addition, the number and complexity of antithrombotic agents are growing. These concurrent trends may lead to confusion among trainees on the appropriate management of these drugs during endoscopy. Gastroenterology fellows in particular may be susceptible since they commonly assist coordinating and performing endoscopy on high-risk patients who are on antithrombotics in the hospital. While fellows have access to published and online resources, the accessibility and functionality of these options may be limited.

The ubiquity of mobile applications for clinical decision support (CDS) presents a unique educational opportunity to provide dynamic content at the point of care. We hypothesized that use of a dedicated CDS would result in improved understanding of managing antithrombotic agents in the peri-endoscopy period. Our objectives were to deliver evidence-based content in a mobile application, evaluate trainee attitudes and knowledge, and assess trainee preferences for clinical education.

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