title: Doctors and the Etiquette of Mobile Device Use in Trauma and Orthopedics.
abstract: BACKGROUND
  The etiquette surrounding the use of mobile devices, so-called "mobiquette," has been previously identified as a barrier to use in an educational context.
  
  
  OBJECTIVE
  To investigate the influence of mobile device use on patient and staff opinions in the trauma and orthopedics department at a teaching hospital in Wales.
  
  
  METHODS
  A survey of patients at the bedside and staff in their work environment was undertaken. Data included age, frequency of observed use, suspected main reason for use, and whether doctors' use of a mobile device positively or negatively influenced participants' opinions of them as a professional and as a person.
  
  
  RESULTS
  A total of 59 patients and 35 staff responded. The modal age range was 40 to 54 years old. Most patients (78%) never see doctors using mobile devices in the workplace, compared with 3% of staff. The main reason for use was thought to be "communicating with colleagues" (48%) followed by "Internet use/applications for work reasons" (40%). Approximately 40% of patients' opinions of doctors were positively influenced by device use, compared with 82% of staff. This difference between patient and staff opinions was statistically significant for both professional (P<.001) and personal (P=.002) opinions.
  
  
  CONCLUSIONS
  Patients are likely to have a negative opinion of doctors using mobile devices in the workplace. This can be balanced by the more positive opinions of colleagues. We advise doctors to remember "mobiquette" around patients.
authors.affiliation: The Cardiff Unit for Research and Evaluation in Medical and Dental Education (CUREMeDE), Cardiff University, Cardiff, United Kingdom. drblocker@gmail.com.
authors.forename: Oliver
authors.identifier: http://orcid.org/0000-0001-7953-1450
authors.initials: O
authors.lastname: Blocker
authors.forename: Lydia
authors.identifier: http://orcid.org/0000-0002-7958-5843
authors.initials: L
authors.lastname: Hayden
authors.forename: Alison
authors.identifier: http://orcid.org/0000-0003-3800-2186
authors.initials: A
authors.lastname: Bullock
keywords: cell phones; education, medical; patient-physician relationship