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Before seeing a patient, physicians seek to obtain an overview of the patient's medical history. Text plays a major role in this activity since it represents the bulk of the clinical documentation, but reviewing it quickly becomes onerous when patient charts grow too large. Text visualization methods have been widely explored to manage this large scale through visual summaries that rely on information retrieval algorithms to structure text and make it amenable to visualization. However, the integration with such automated approaches comes with a number of limitations, including significant error rates and the need for healthcare providers to fine-tune algorithms without expert knowledge of their inner mechanics. In addition, several of these approaches obscure or substitute the original clinical text and therefore fail to leverage qualitative and rhetorical flavours of the clinical notes. These drawbacks have limited the adoption of text visualization and other summarization technologies in clinical practice. In this work we present Doccurate, a novel system embodying a curation-based approach for the visualization of large clinical text datasets. Our approach offers automation auditing and customizability to physicians while also preserving and extensively linking to the original text. We discuss findings of a formal qualitative evaluation conducted with 6 domain experts, shedding light onto physicians' information needs, perceived strengths and limitations of automated tools, and the importance of customization while balancing efficiency. We also present use case scenarios to showcase Doccurate's envisioned usage in practice.

BackgroundAudio and video podcasts have gained popularity in recent years. Increasingly, podcasts are being used in the field of medicine as a tool to disseminate information. This format has multiple advantages including highly accessible creation tools, low distribution costs, and portability for the user. However, despite its ongoing use in medical education, there are no data describing factors associated with the success or quality of podcasts.ObjectiveThe goal of the study was to assess the landscape of anesthesia podcasts in Canada and develop a methodology for evaluating the quality of the podcast. To achieve our objective, we identified the scope of podcasts in anesthesia specifically, constructed an algorithmic model for measuring success, and identified factors linked to both successful podcasts and a peer-review process.MethodsIndependent reviewers performed a systematic search of anesthesia-related podcasts on iTunes Canada. Data and metrics recorded for each podcast included podcast’s authorship, number posted, podcast series duration, target audience, topics, and social media presence. Descriptive statistics summarized mined data, and univariate analysis was used to identify factors associated with podcast success and a peer-review process.ResultsTwenty-two podcasts related to anesthesia were included in the final analysis. Less than a third (6/22=27%) were still active. The median longevity of the podcasts’ series was just 13 months (interquartile range: 1-39 months). Anesthesiologists were the target audience for 77% of podcast series with clinical topics being most commonly addressed. We defined a novel algorithm for measuring success: Podcast Success Index. Factors associated with a high Podcast Success Index included podcasts targeting fellows (Spearman R=0.434; P=.04), inclusion of professional topics (Spearman R=0.456-0.603; P=.01-.03), and the use of Twitter as a means of social media (Spearman R=0.453;P=.03). In addition, more than two-thirds (16/22=73%) of podcasts demonstrated evidence of peer review with podcasts targeting anesthesiologists most strongly associated with peer-reviewed podcasts (Spearman R=0.886; P=.004)ConclusionsWe present the first report on the scope of anesthesia podcasts in Canada. We have developed a novel tool for assessing the success of an anesthesiology podcast series and identified factors linked to this success measure as well as evidence of a peer-review process for a given podcast. To enable advancement in this area of anesthesia e-resources, podcast creators and users should consider factors associated with success when creating podcasts. The lack of these aspects may be associated with the early demise of a podcast series.