Evidence map›Paper›PMID 33150199›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2020

A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record.

Kelly Skelly, Wendy Shen, Jason Wilbur, Kate Thoma, Jill Endres, Alison Lynch, Anne Gaglioti, Marcy Rosenbaum

Open access · diamondAbstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 16% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Kelly SkellyAssociate Professor, Department of Family Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine.
Wendy ShenAssociate Professor, Department of Family Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine.ORCID 0000-0001-6545-8280
Jason WilburProfessor, Department of Family Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine.ORCID 0000-0002-5004-9115
Kate ThomaAssociate Professor, Department of Family Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine.ORCID 0000-0002-2963-8839
Jill EndresProfessor, Department of Family Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine.ORCID 0000-0002-1136-3400
Alison LynchProfessor, Department of Family Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine.ORCID 0000-0002-0966-6605
Anne GagliotiAssociate Professor, Department of Family Medicine, Morehouse School of Medicine.ORCID 0000-0001-5843-8476
Marcy RosenbaumProfessor, Department of Family Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine.ORCID 0000-0002-8000-5711
University of Iowa · USMorehouse School of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: All physicians must learn comprehensive patient care delivery within the electronic health record (EHR). No studies have considered EHR communication training with an emphasis on clinical efficiency. This curriculum provides a method of teaching clinic efficiency while practicing effective patient communication in any EHR clinical situation. The target audience is resident physicians, fellow physicians, faculty physicians, and physician extenders practicing in a primary care setting where the EHR is present. Methods: This curriculum of four separate workshops provides a structured EHR approach while addressing communication strategies for preclinical preparation, rapport building, encounter initiation, agenda setting, and visit closure. The curriculum contains interactive presentations, tools, and an evaluation survey. Presenting efficiency issues with the EHR using the ATTEND mnemonic and agenda setting allows documentation while practicing communication techniques that maximize efficiency. Results: Postworkshop surveys revealed that participants felt the workshops were helpful (84%). One measurement of efficiency revealed improvement through decreased number of days to note completion after workshop participation. At the Program Directors Workshop, curriculum value was demonstrated by high attendance, with 94% feeling the workshops provided easily utilizable strategies. Discussion: The curriculum utilized only the EPIC EHR but would be generalizable. Future directions could include measurement of effective communication and visit efficiency through direct observation and expanded EHR timing data.

Indexed as

Electronic Health RecordsPhysiciansCommunicationCurriculumDocumentationHumansAgenda SettingATTENDCommunicationCommunication SkillsEfficiencyEHRElectronic Health RecordElectronic Medical RecordEMR

Identifiers

PMID33150199
PMCPMC7597939
OpenAlexW3097392037

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.