Purpose: This study evaluates the effect of Cydoc software tools on medical note time-to-completion and quality. Methods: Medical students were recruited by email to participate in a video encounter with a standardized patient for three scenarios: writing a note from scratch (control), writing a note with the Cydoc educational tool, and writing a note with the Cydoc intake form. Notes were subsequently anonymized and rated by a resident physician across four quality measures. Note time-to-completion was analyzed using a one-way ANOVA with post-hoc Bonferroni correction, while note quality scores were compared using a Wilcoxon paired signed rank test. Results: Eighteen medical students participated in the study. The average note time-to-completion, which included the patient interview and note writing, was 17 +/- 7.0 minutes from scratch, 18 +/- 8.0 minutes with the educational tool, and 5.7 +/- 3.0 minutes with the intake form. Using the Cydoc intake form was significantly faster than writing from scratch (p = 0.0001) or using the educational tool (p = 8 x 10-5). Notes written with Cydoc tools had higher note comprehensiveness (3.24 > 3.06), pertinent positives (3.47 > 2.94), and pertinent negatives (3.47 > 2.67), although this trend did not reach statistical significance. Conclusions: Using the Cydoc smart patient intake form accelerated note writing by 2.98x while maintaining note quality. The Cydoc smart patient intake form has the potential to streamline clinical documentation and save clinicians' time. Future work is needed to evaluate Cydoc tools in an in-person outpatient setting with practicing clinician users.

翻译：目的：本研究评估Cydoc软件工具对病历完成时间及质量的影响。方法：通过电子邮件招募医学生参与三项标准化病人视频问诊场景：从零开始书写病历（对照组）、使用Cydoc教育工具书写病历、使用Cydoc接诊表书写病历。病历随后经匿名处理，由一名住院医师根据四项质量指标进行评分。采用单因素方差分析（ANOVA）结合事后Bonferroni校正分析病历完成时间，病历质量评分则通过Wilcoxon配对符号秩检验进行比较。结果：18名医学生参与研究。从零开始书写的平均病历完成时间（含患者访谈与病历书写）为17±7.0分钟，使用教育工具为18±8.0分钟，使用接诊表为5.7±3.0分钟。使用Cydoc接诊表显著快于从零开始书写（p=0.0001）或使用教育工具（p=8×10⁻⁵）。Cydoc工具书写的病历在全面性（3.24>3.06）、阳性相关症状（3.47>2.94）及阴性相关症状（3.47>2.67）方面评分更高，但差异未达到统计学显著性。结论：使用Cydoc智能患者接诊表可在保证病历质量的前提下将书写速度提升2.98倍。Cydoc智能患者接诊表有望简化临床文档流程并节省临床医生时间。未来需在真实的门诊环境中由执业临床医生进一步评估Cydoc工具。