ArticleMedical education online2017
Incorporating the human touch: piloting a curriculum for patient-centered electronic health record use.
Article in Medical education online, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Training medical students and residents in the use of electronic health records: a systematic review of the literature.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Improving Patient-Provider Communication and Therapeutic Practice Through Better Integration of Electronic Health Records in the Exam Room: A Pilot Study.Health education & behavior : the official publication of the Society for Public Health Education · 2019Trial
- Review
- The relationship between digital literacy and innovative behavior among Chinese medical students: the chain mediating roles of diversity experience and creative self-efficacy.BMC medical education · 2025Article
- Digital competencies for Singapore's national medical school curriculum: a qualitative study.Medical education online · 2023Article
- Association Between Patient Portal Use and Perceived Patient-Centered Communication Among Adults With Cancer: Cross-sectional Survey Study.JMIR cancer · 2022Article
- Medical school curriculum in the digital age: perspectives of clinical educators and teachers.BMC medical education · 2022Article
- Integrating the Electronic Health Record Into Patient Encounters: An Introductory Standardized Patient Exercise for Preclinical Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2022Article
- Assessing the quality of electronic medical records as a platform for resident education.BMC medical education · 2021Article
- Digital Health Training Programs for Medical Students: Scoping Review.JMIR medical education · 2021Article
- How Do Patients Want Us to Use the Computer During Medical Encounters?-A Discrete Choice Experiment Study.Journal of general internal medicine · 2021Article
- Impact of an Educational Comic to Enhance Patient-Physician-Electronic Health Record Engagement: Prospective Observational Study.JMIR human factors · 2021Article
- The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Protecting healing relationships in the age of electronic health records: report from an international conference.JAMIA open · 2019Article
- The electronic health record as a patient engagement tool: mirroring clinicians' screen to create a shared mental model.JAMIA open · 2018Article
- Finding Meaning in Medication Reconciliation Using Electronic Health Records: Qualitative Analysis in Safety Net Primary and Specialty Care.JMIR medical informatics · 2018Article
- Reducing Misses and Near Misses Related to Multitasking on the Electronic Health Record: Observational Study and Qualitative Analysis.JMIR human factors · 2018Article
- Integrating Patient-Centered Electronic Health Record Communication Training into Resident Onboarding: Curriculum Development and Post-Implementation Survey Among Housestaff.JMIR medical education · 2018Article
- Use of the Electronic Health Record During Clinical Encounters: An Experience Survey.Annals of family medicineArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntegrating electronic health records (EHRs) into clinical care can prevent physicians from focusing on patients. Despite rapid EHR adoption, few curricula teach communication skills and best practices for patient-centered EHR use.
objectiveWe piloted a 'Patient-centered EHR use' curriculum, consisting of a lecture and group-observed structured clinical examination (GOSCE) for second-year students (MS2s).
designDuring the lecture, students watched a trigger tape video, engaged in a reflective observation exercise, and learned best practices. During the GOSCE, one of four MS2s interacted with a standardized patient (SP) while using the EHR. Third-year students (MS3s) received no formal training and served as a historical control group by completing the same OSCE individually. All students completed post-GOSCE/OSCE surveys. The SP evaluated GOSCE/OSCE performance.
resultsIn 2013, 89 MS2s participated in the workshop and GOSCEs during their required Clinical Skills course and 96 MS3s participated in individual OSCEs during their end of year multi-station formative GOSCE exercise. Eighty MS2s (90%) and 88 MS3s (92%) post-GOSCE/OSCE surveys were analyzed. Compared to MS3s, significantly more MS2s rated their knowledge (19% vs 55%) and training (14% vs 39%) as good (≥4/5 point scale, P < .001 for both). Most learners (85% MS2s and 70% MS3s) thought training should be required for all students. SP ratings on GOSCE/OSCE performance was higher for the 20 MS2s compared to the 88 MS3 controls (73.5 [SD = 4.5] vs 58.1 [SD = 13.1] on 80 point scale, P < .001).
conclusionsA short workshop and GOSCE were effective in teaching patient-centered EHR use. This curriculum is now a permanent part of our Clinical Skills course. Clerkship students who did not receive our curriculum may have been exposed to negative role-modeling on the wards. To address this, training residents and faculty on patient-centered EHR use skills should be considered. ABBREVIATIONS: EHR: Electronic health record; EHR: Electronic health record; SP: Standardized patient.
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