title: Increases in knowledge and use of information technology by entering medical students at McMaster University in successive annual surveys.
abstract: OBJECTIVE
  To determine self-reported microcomputer and information technology competency, access, and usage by entering medical students and their perceptions of the need for training in additional applications.
  
  
  METHODS
  Cross-sectional surveys of successive classes.
  
  
  METHODS
  McMaster University Faculty of Health Sciences Medical Undergraduate Program, which has a 33-month, problem-based, self-directed learning curriculum and a high applicant-to-student ratio.
  
  
  METHODS
  Medical school classes entering in 1987, 1988, and 1989. Response rates were 80%, 90%, and 86% respectively.
  
  
  METHODS
  A self-report questionnaire was sent to each student, with up to two follow-up letters to prompt a response.
  
  
  RESULTS
  There was a progressive rise in reported information technology access and use for the three years. For the classes starting in 1987, '88, and '89 respectively, computer access was 29%, 49%, and 49% (P < 0.002 for linear trend), and, among those with computer access, modem access was 17%, 29% and 50% (P = 0.012). Self-service MEDLINE use on CD-ROM at the Health Sciences Library was 65%, 75%, and 89% respectively (P < 0.001) for all respondents within the first few months of starting medical school. Over 50% of each class stated they would take courses, if available, on clinical applications software, office management, online searching, filing, and CD-ROM searching.
  
  
  CONCLUSIONS
  Half of the most recent entering students already had access to a personal computer and most wished to learn computer applications that would assist them with patient management, and with information access and organization. Medical schools need to address which applications they will teach or make available and how to bring all students to acceptable competency in their use.
authors: Health Information Research Unit, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
authors: R B
authors: RB
authors: Haynes
authors: K A
authors: KA
authors: McKibbon
authors: E
authors: E
authors: Bayley
authors: C J
authors: CJ
authors: Walker
authors: M E
authors: ME
authors: Johnston
mesh_terms: D003197:Computer Literacy; D003430:Cross-Sectional Studies; D007256:Information Systems; D013337:Students, Medical; D011795:Surveys and Questionnaires