Electronic Health Record Skills Workshop for Medical Students

Zavodnick, Jillian; Kouvatsos, Tasha

doi:10.15766/mep_2374-8265.10849

Cited by 14 publications

(23 citation statements)

References 9 publications

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“…Students considered familiarity with the EMR as important to their clinical success including effective data gathering, documentation, and order entry. 14 Another survey described how medical students participate in informal EMR training, but “a formal orientation on how to use the EMR system would have been useful on the first day” and that including this training during an orientation would be beneficial. 15 This survey asked students after family and community medicine rotations to indicate whether or not they performed specific EMR tasks as well as providing free responses to open-ended survey questions.…”

Section: Resultsmentioning

confidence: 99%

“…Trainings developed utilizing case studies or simulated exercises that required students to navigate the EMR to discover and enter patient information was deemed 1 possible solution to increasing comfort with EMR usage. 14 Another study demonstrated that students were hesitant to believe the trainings would have lasting impacts and that after a two-day training they still did not feel confident in their EMR usage. 16 While overall opinion on the usefulness of EMR training increased after their training, only 27% ultimately felt confident navigating the system.…”

Section: Resultsmentioning

confidence: 99%

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EMR Precharting Efficiency in Internal Medicine: A Scoping Review

Bowman

Holzer

2021

Journal of Medical Education and Curricular Development

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Purpose: The act of precharting, or navigating the EMR to review a patient’s recent vitals, labs, notes, and other results, is something that is required of every clinician prior to effective rounding on patients. The purpose of this scoping review is to review the extant literature on precharting. Methods: Scholarly data through OVID on Medscape and grey literature were systematically searched with extensive inclusion criteria including the terms “Pre-round” “precharting” as well as “student” “education” or “teach” adjacent to “EMR” or “electronic medical record” or “electronic health record” or “documentation.” We collated this with “education, medical, undergraduate,” or “Students/medical.” Results: As of September 23, 2020, 241 scholarly articles were identified. No grey literature were identified. Inclusion criteria included full article access, English language, and covering the precharting topic. Seventeen articles met inclusion criteria and were included in the review. These articles included 1 direct observational study, 1 retrospective study, 2 qualitative studies, 5 EMR workshop trainings, 1 perspective piece, 1 curriculum analysis, and 6 articles based on survey measures. Of these articles, the majority were published recently, with 8 of the 17 published since 2018. Summary of the limited existing literature can be distilled into 3 findings: a need for timely EMR data extraction, the potential optimization of EMR workflow, and the benefit of time intensive EMR trainings. Conclusions: This scoping review explored the existing scholarly and grey literature to summarize the review of precharting and education surrounding navigating the EMR for medical students as a means of exploring the topic to determine current practices and identify areas of potential improvement.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

EMR Precharting Efficiency in Internal Medicine: A Scoping Review

Bowman

Holzer

2021

Journal of Medical Education and Curricular Development

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“…Although less proliferative, there has been some progress in teaching trainees complex electronic data-gathering skills and documentation skills. 11,[13][14][15][16][17][18][19] This includes strategies to balance information gathered in advance of the visit from the EHR with information gathered directly from the patient. Zavodnick and Kouvatosos recently published a workshop on some of these skills, but it was designed for fourth-year medical students.…”

Section: Introductionmentioning

confidence: 99%

“…Zavodnick and Kouvatosos recently published a workshop on some of these skills, but it was designed for fourth-year medical students. 15 Providing instruction for preclinical students on strategies for trusting information originating from the EHR but also verifying it with the patient can help them develop constructive habits early on that support their ability to collect an accurate account of a patient's history.…”

Section: Introductionmentioning

confidence: 99%

Integrating the Electronic Health Record Into Patient Encounters: An Introductory Standardized Patient Exercise for Preclinical Medical Students

et al. 2022

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Introduction: Increasingly, use of the electronic health record (EHR) is interwoven into even the most basic patient care tasks. Accordingly, learning how to utilize the EHR during patient encounters is important for medical students as they develop their clinical skills. Existing EHR curricula have focused primarily on doctor-patient relationship skills. We developed a session for our preclinical students on EHR-related doctor-patient relationship skills as well as on using the EHR to verify data and focus one's history taking. Methods: We developed student notes, three training videos, four standardized patient (SP) cases, and a simplified, simulated EHR based on these cases. Students reviewed the notes and videos prior to class. During class, students practiced EHR-related communication and data-collection strategies by interviewing an SP while interacting with the simulated EHR. Following each encounter, students received feedback from a small group of peers and faculty. Results: Two-hundred eighty-nine second-year medical students participated this session in 2019 and 2020, and 27 (19%, 2019) and 40 (28%, 2020) students, respectively, completed the postsession evaluation. Most respondents rated the SP activity as extremely or quite effective for practicing doctor-patient relationship strategies while interacting with the EHR (89%, 2019; 83%, 2020) and for practicing verification of EHR data during a patient encounter (81%, 2019; 86%, 2020). Discussion: This training session was effective for introducing preclinical medical students to fundamental concepts and skills related to incorporating the EHR into patient encounters and offers a low-cost approach to teaching early medical students these important skills.

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“…8 Several prior publications in MedEdPORTAL have sought to support the training of resident physicians on documentation skills in specialties aside from EM, [9][10][11] and at least one resource is designed specifically for EM residents documenting clinical encounters in the ED. 12 Two other publications broadly address medical student utilization of the EHR, 13,14 of which writing patient notes is one of many components. Resources also exist for medical students to learn about documentation in the ED, 8 although data on effectiveness or educational outcomes are lacking.…”

Section: Introductionmentioning

confidence: 99%