title: Education in anesthesia: three years of online logbook implementation in an Italian school.
abstract: BACKGROUND
  The progress of physicians through residency training in anesthesiology can be monitored using an online logbook. The aim of this investigation was to establish how residents record clinical activities in their computerized web-based logbooks during their first years of anesthesiology training.
  
  
  METHODS
  For this retrospective observational trial, the ESSE 3(©) digital registry of the University of Modena and Reggio Emilia, Italy was used to record all anesthesia-related activities performed by three consecutive year-groups of residents (Groups A, B and C) between 2009 and 2012. The ratio of activities to sessions was chosen as a surrogate measure of compliance.
  
  
  RESULTS
  A total of 41,348 actions were analyzed. The ratio of activities to sessions showed a statistically significant decline for all activities concerning the perioperative management of anesthesia, with a steady reduction from the first to the last year-group (Group A 23.7, Group B 14.1 and Group C 2.2; p = 0.003).
  
  
  CONCLUSIONS
  An online activities logbook is a useful tool for recording and assessing the clinical activities undertaken by each resident during residency training in anesthesiology.
authors.affiliation: Director of the Residency Program in Anesthesiology and Intensive Care, University of Modena and Reggio Emilia, Modena, Italy. alberto.barbieri@unimore.it.
authors.forename: Alberto
authors.initials: A
authors.lastname: Barbieri
authors.affiliation: Research Fellow, University of Modena and Reggio Emilia, Modena, Italy. enrico.giuliani@unimore.it.
authors.forename: Enrico
authors.initials: E
authors.lastname: Giuliani
authors.affiliation: Resident, School of Anesthesiology and Intensive Care, University of Modena and Reggio Emilia, Modena, Italy. saralazzerotti@libero.it.
authors.forename: Sara
authors.initials: S
authors.lastname: Lazzerotti
authors.affiliation: Resident, School of Anesthesiology and Intensive Care, University of Modena and Reggio Emilia, Modena, Italy. mvillani@live.it.
authors.forename: Matteo
authors.initials: M
authors.lastname: Villani
authors.affiliation: Department of Surgery, University of Modena and Reggio Emilia, Modena, Italy. alberto.farinetti@unimore.it.
authors.forename: Alberto
authors.initials: A
authors.lastname: Farinetti
mesh_terms: D000328:Adult; D000776:Anesthesiology / Q000193:education*; D002983:Clinical Competence; D004282:Documentation; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007558:Italy; D008297:Male; D009862:Online Systems; D018794:Problem-Based Learning; D012042:Registries; D012189:Retrospective Studies; D013997:Time Factors