A Novel Approach to Supporting Relationship-Centered Care Through Electronic Health Record Ergonomic Training in Preclerkship Medical Education

Silverman, Howard; Ho, Yun Xian; Kaib, Susan; Ellis, Wendy; Moffitt, Maricela P.; Chen, Qingxia; Nian, Hui; Gadd, Cynthia S.

doi:10.1097/acm.0000000000000297

Cited by 23 publications

(18 citation statements)

References 7 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Future physicians must learn skills to enhance relationships while using the EHR in modern clinical practices, avoiding barriers such as 'continuous partial attention' and minimizing the patient in favor of the 'third person in the room.' [2][3][4][5][6] Learning how to elicit medical histories while electronically recording key findings, using EHRassociated decision-making tools and providing management plans requires full EHR access. 5 Using the registry and analytic functions of EHRs is important for developing skills in population health management.…”

Section: Electronic Health Records: How Will Students Learn If They Cmentioning

confidence: 99%

Electronic Health Records: How Will Students Learn if They Can't Practice?

Matson¹,

Stephens

Steiner

et al. 2014

The Annals of Family Medicine

View full text Add to dashboard Cite

Section: Electronic Health Records: How Will Students Learn If They Cmentioning

confidence: 99%

Electronic Health Records: How Will Students Learn if They Can't Practice?

Matson¹,

Stephens

Steiner

et al. 2014

The Annals of Family Medicine

View full text Add to dashboard Cite

“…One of the primary challenges facing medical educators is although several medical schools have published their curricular and assessment processes related to medical informatics training, none have longitudinal outcomes data [7,8]. This issue may be exacerbated by the fact that there are still no competency or EPA-based expectations specific to incorporation of EHR or technologies into health care making the end goal somewhat amorphous.…”

mentioning

confidence: 99%

“…This issue may be exacerbated by the fact that there are still no competency or EPA-based expectations specific to incorporation of EHR or technologies into health care making the end goal somewhat amorphous. However, there appears to be some agreement that the curriculum needs to be developmental, theory-based, and skill-based, as well as involving reflection coupled with pre-clinical and clinical practice [7,8]. Understandably, the process is somewhat easier to design and implement in the pre-clinical years.…”

mentioning

confidence: 99%

“…Understandably, the process is somewhat easier to design and implement in the pre-clinical years. Opportunities for focused didactics related to communication theory and processes as well as opportunities to practice interviewing a standardized patient while incorporating EHR ergonomic training (e.g., positioning the laptop to integrate the patient into the EHR experience for reviewing information and teaching) followed by reflection can be incorporated into courses focused on BDoctoring^ [7]. What becomes somewhat more challenging is carrying this training forward into the clinical years in order to scaffold or build upon existing knowledge schemas and skill sets.…”

mentioning

confidence: 99%

See 1 more Smart Citation

The Impact of Technology on the Development of Core Entrustable Professional Activities (EPAs)

Caceres

DiCorcia

2017

Med.Sci.Educ.

View full text Add to dashboard Cite

Advances in technology have benefited clinical practice as well as medical education in many ways. Information technologies have been used to improve health care quality through several approaches. For example, breakdowns in communication, particularly, during transitions of care, are among the most common factors contributing to adverse events. Technology has provided the opportunity to implement computerized coverage systems for Bhand offs^as well as wireless access to electronic health records (EHR). Information systems have been developed to standardize symptom and diagnosis specific order sets, monitor trends and aberrancies in laboratory data, and to assist in identification of potential drug interactions and medication reconciliation to enhance quality care. Furthermore, information technology has offered health care providers and students accessibility to reference information through online textbooks and evidence-based clinical decision support resources such as UpToDate® and DynaMed® [1]. Educational technologies such as the mannequins found in simulation laboratories have provided controlled environments that create safer contexts for learning and assessment by reducing risks to patients. However, it is important to consider the integration of technology and its effect on professional skills from a developmental standpoint.There are potential unintended consequences to these technological advances in medical education such as the Bflipped patient,^a term describing the first clinical encounter for a learner as an electronic visit with the EHR or the BiPatient^ [2]. For the student, this virtual encounter reveals the chief complaint, history of present illness, physical exam, and often a defined assessment and plan before actually meeting the patient. This virtual encounter with pre-populated data and reasoning has essentially become the student's first Breal^encounter resulting in less critical thinking by the learner. In addition, clinical reasoning by residents and attending occurs independently during the electronic Bpre-rounding^of the medical record prior to team rounds. This solo mental exercise that occurs in the minds of the preceptors during review of the EHR excludes the learner from the conversation that previously occurred during rounds when charts were reviewed together [3]. This diminishes teachable moments for learners at varying levels of training and affects the development of clinical reasoning skills. Furthermore, technology has proven to be an essential component of health care and millennials have embraced it as their generation not only views it as part of the norm, but sees inefficiencies in its absence. However, with more time at the computer and less time at the bedside coupled with decreased critical thinking being modeled, practiced, and taught, medical educators need to evaluate more formally the true impacts of technology on the learner. With a move toward integrating competency-based assessments of students into the context of clinical practice to determine attainment of ...

show abstract

“…Electronic information special course teaching reform in the colleges and universities trend is to streamline the course content and periods, additional categories of the courses, strengthen the cultivation of students' practical ability and in the course of a minus one increases, the impact on the basic knowledge and influence should not be neglected, some teachers are prone to errors in the grasp of the course material, easy to guide to the streamline basics, expansion of breadth of knowledge, teaching content is wide and not pure, ignores the importance of the basic knowledge to students, this conflicts with solid talent training target. Electronic information special basic course is the theoretical basis and the practice as the foundation, the comprehensive training of students' knowledge, ability and quality plays a very important role, so the reform of the basic course of electronic and information profession in colleges and universities [1][2].…”

Section: Introductionmentioning

confidence: 99%

Research on the Novel Education Pattern for Science and Engineering Classes Based on Experiment and Interactive Teaching Method

Huang¹,

Xie²,

Bian³

et al. 2016

Advances in Computer Science Research

View full text Add to dashboard Cite

Abstract-In this paper, we conduct research on novel education pattern for science and engineering classes based on experiment and the interactive teaching method. Teaching ways should be further to the combination of knowledge and exploration, interaction between teachers and students teaching learning and to mobilize students' autonomous learning, stimulate student curiosity and creativity as the main goal of teaching way transformation. Classroom teaching is the main way for students to master basic theory, basic skills, to guarantee the quality of classroom teaching is in the classroom in the limited time and the space for the effective interaction of teachers and students. We believe that through a series of effective exploration and reform of teaching, it will usher in spring of higher education in the 21st century. In this context, to develop high-tech talents with international level, we will break bondage of students thought the traditional education mode. The proposed experiment and the interactive teaching method enhance the overall performance of the education process which will be beneficial to optimize the current education pattern. In the future research, we will combine more corresponding theory into the topic to modify the current research result.

show abstract

A Novel Approach to Supporting Relationship-Centered Care Through Electronic Health Record Ergonomic Training in Preclerkship Medical Education

Cited by 23 publications

References 7 publications

Electronic Health Records: How Will Students Learn if They Can't Practice?

Electronic Health Records: How Will Students Learn if They Can't Practice?

The Impact of Technology on the Development of Core Entrustable Professional Activities (EPAs)

Research on the Novel Education Pattern for Science and Engineering Classes Based on Experiment and Interactive Teaching Method

Contact Info

Product

Resources

About