Introduction: Digital media have revolutionized communication and information dissemination in healthcare. We aimed to quantify and evaluate professional digital media use among urology residents. Methods: We designed a 17-item survey to assess usage and perceived usefulness of digital media, as well as communication type and device type and distributed it via email to 143 Canadian and 721 German urology residents. Results: In total, 58 (41% response rate) residents from Canada and 170 (24% response rate) from Germany reported professional usage rates of 100% on the internet, 89% on apps, and 46% on social media (SoMe). For professional use, residents spent a median of 30 minutes per day on the internet, 10 minutes on apps, and 15 minutes on SoMe. 100% rated the internet, 89% apps, and 31% SoMe as useful for clinical practice. Most (94%) used digital media for communication with colleagues and 23% for communication with patients. Digital media use was allocated to desktop computers (55%) and mobile devices (45%). Canadian residents had higher usage rates of apps (96% vs. 86%; p=0.042) and SoMe (65% vs. 39%; p=0.002) and longer daily usage times for the internet, apps, and SoMe than German residents (p<0.001 each). Conclusions: Digital media are an integral part of the daily professional practice of urology residents, reflected by high usage rates and perceived usefulness of the internet and apps, and the growing importance of SoMe. Urologists should strive to progressively exhaust the vast potential of digital media for academic and clinical practice.
IntroductionDigital media, like the internet, mobile applications (apps), and social media (SoMe) have revolutionized communication and information dissemination in healthcare.1-3 The internet builds the largest medical library and it is searched extensively for health information, with the 10 most popular health websites counting more than 300 million visitors a month. 4,5 Currently, more than 165 000 health apps are available and the numbers are growing.6 Global SoMe use comprises 2.3 billion active accounts.7 This is further emphasized by 1.4 billon healthcare-related Twitter tweets that the healthcare SoMe analytics tool, Symplur (www. symplur.com), has recorded. 8 In urology, digital media have been used to provide information on urological websites, [9][10][11] to search health information using urological apps during clinical practice, 2 and to interact on SoMe for academic and clinical purposes. 3,[12][13][14] Urologists are at the forefront of SoMe use, with private usage rates varying between 49% among urologists in Canada and 86% among residents from the American Urological Association (AUA) in 2013;15-17 however, only an assessment of professional use can help to determine the value of digital media for clinical practice and academic exchange. There are some preliminary data on professional usage rates of digital media: 94% for the internet, 18 78% for apps, 2 and 8-21% for SoMe; 16,17 however, pure usage rates cannot assess the amount of time s...