ArticleJournal of graduate medical education2018
Open Notes in Teaching Clinics: A Multisite Survey of Residents to Identify Anticipated Attitudes and Guidance for Programs.
Article in Journal of graduate medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- Psychiatric Documentation in the 21st Century: A Trainee Perspective.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025Article
- Case Report: A health system's experience using clinical decision support to promote note sharing after the 21st Century Cures Act.JAMIA open · 2025Article
- Guidelines for Patient-Centered Documentation in the Era of Open Notes: Qualitative Study.JMIR medical education · 2025Article
- Interventions to Mitigate EHR and Documentation Burden in Health Professions Trainees: A Scoping Review.Applied clinical informatics · 2025Article
- A Patient-Centered Documentation Skills Curriculum for Preclerkship Medical Students in an Open Notes Era.MedEdPORTAL : the journal of teaching and learning resources · 2024Article
- Changes in Documentation Due to Patient Access to Electronic Health Records: Protocol for a Scoping Review.JMIR research protocols · 2023Article
- Internal Medicine Intern Preparedness to Document Clinical Encounters in the Era of Open Notes: a Needs Assessment Survey.Journal of general internal medicine · 2023Article
- Understanding the Cures Act Information Blocking Rule in cancer care: a mixed methods exploration of patient and clinician perspectives and recommendations for policy makers.BMC health services research · 2023Article
- Changes in Clinician Attitudes Toward Sharing Visit Notes: Surveys Pre-and Post-Implementation.Journal of general internal medicine · 2021Article
- Words Matter: What Do Patients Find Judgmental or Offensive in Outpatient Notes?Journal of general internal medicine · 2021Article
- ICD-10-Coding of Medically Unexplained Physical Symptoms and Somatoform Disorders-A Survey With German GPs.Frontiers in medicine · 2021Article
- Patient Attitudes About Viewing Their Radiology Images Online: Preintervention Survey.Journal of medical Internet research · 2019Article
- Open notes in psychotherapy: An exploratory mixed methods survey of psychotherapy students in Switzerland.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClinicians are increasingly sharing outpatient visit notes with patients through electronic portals. These open notes may bring about new educational opportunities as well as concerns to physicians-in-training and residency programs.
objectiveWe assessed anticipatory attitudes about open notes and explored factors influencing residents' propensity toward note transparency.
methodsResidents in primary care clinics at 4 teaching hospitals were surveyed prior to implementation of open notes. Main measures included resident attitudes toward open notes and the anticipated effect on patients, resident workload, and education. Data were stratified by site.
resultsA total of 176 of 418 (42%) residents responded. Most residents indicated open notes would improve patient engagement, trust, and education but worried about overwhelming patients, residents being less candid, and workload. More than half of residents thought open notes were a good idea, and 32% (56 of 176) indicated they would encourage patients to read these notes. More than half wanted note-writing education and more feedback, and 72% (126 of 175) indicated patient feedback on residents' notes could improve communication skills. Attitudes about effects of open notes on safety, quality, trust, and medical education varied by site.
conclusionsResidents reported mixed feelings about the anticipated effects of sharing clinical notes with patients. They advocate for patient feedback on notes, yet worry about workload, supervision, and errors. Training site was correlated with many attitudes, suggesting local culture drives resident support for open notes. Strategies that address resident concerns and promote teaching and feedback related to notes may be helpful.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.