Summary
Objectives: Personal digital assistants (PDAs) are in widespread use by resident physicians in
many countries, reaching as high as 95% in some reports. Uses are varied and include
clinical decision support and support of evidence-based practice. Utilization by resident
doctors in Japan has not been characterized. This study was conducted to determine
practice patterns of PDA use by Japanese resident physicians.
Methods: A nationwide cohort survey study was distributed to all 1070 residency teaching programs
in Japan. The survey included questions pertaining to use of PDAs in clinical practice.
Results: 1124 surveys were returned (response rate of approximately 75%). 297 (30.7%) respondents
reported currently using PDAs, while 971 (86.4%) reported having used a PDA in the
past. PDA users were more likely to be male (p < 0.05), but no other significant differences
were found when examining the following variables: age, training site (university
hospital versus community teaching hospital), satisfaction with existing information
technology access.
Conclusions: Use of PDAs among Japanese resident physicians is much lower than their counterparts
in other countries. In light of this, further research on patient outcomes in Japan
and the impact of PDA usage on patient outcomes is urgently needed. If demonstrated
to improve outcomes, barriers to adoption need to be identified and overcome.
Keywords
Personal digital assistant - clinical decision support systems - Japan - resident
physician