ArticleApplied clinical informatics2021
Resident Physician Experience and Duration of Electronic Health Record Use.
Article in Applied clinical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled 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.
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
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Measuring Documentation Burden in Healthcare.Journal of general internal medicine · 2024Pooled it
- Uses of Electronic Health Record Data to Measure the Clinical Learning Environment of Graduate Medical Education Trainees: A Systematic Review.Academic medicine : journal of the Association of American Medical Colleges · 2023Pooled it
- Prepared on Paper, Unprepared in Practice: The Transition From Medical Student to Resident Doctor.Cureus · 2026Article
- Time Burden of Electronic Medical Records on Nurses and Physicians in Saudi Arabia: Occurrence, Predictors, and Challenges-A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- Nested order panels for adult primary care modestly improves ordering efficiency among high utilizers.JAMIA open · 2026Article
- Work outside of work: after-hours use of the electronic medical record among residents at an academic veterinary teaching hospital.Frontiers in veterinary science · 2026Article
- A Systems Approach to Improving Well-Being in Graduate Medical Education.Academic medicine : journal of the Association of American Medical Colleges · 2025Article
- Does autotext usage decrease documentation time among resident physicians? A retrospective analysis of electronic health record usage data.JAMIA open · 2025Article
- Education Research: Exploring the Impact of Standardized, Condition-Specific Note Templates on Quality Metrics and Efficiency in Multiple Resident Clinics.Neurology. Education · 2025Article
- Interventions to Mitigate EHR and Documentation Burden in Health Professions Trainees: A Scoping Review.Applied clinical informatics · 2025Article
- Improving Workflow With a Task Buddy System in a Family Medicine Residency.PRiMER (Leawood, Kan.) · 2025Article
- Enhancing the timeliness of EMR documentation in resident doctors: the role of PDCA cycle management.BMC medical education · 2024Article
- The Impact of Diagnosis-Specific Plan Templates on Admission Note Writing Time: A Quality Improvement Initiative.Journal of graduate medical education · 2024Article
- Impact of a Disease-Focused Electronic Health Record Dashboard on Clinical Staff Efficiency in Previsit Patient Review in an Ambulatory Pulmonary Hypertension Care Clinic.Applied clinical informatics · 2024Article
- Electronic health records and clinical documentation in medical residency programs: preparing residents to become master clinicians.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Associations of perceived changes in work due to digitalization and the amount of digital work with job strain among physicians: a national representative sample.BMC medical informatics and decision making · 2023Article
- Electronic Health Record Use and Perceptions among Urologic Surgeons.Applied clinical informatics · 2023Article
- Creating Conversion Factors from EHR Event Log Data: A Comparison of Investigator-Derived and Vendor-Derived Metrics for Primary Care Physicians.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Observational
- Using event logs to observe interactions with electronic health records: an updated scoping review shows increasing use of vendor-derived measures.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Perceived Value of the Electronic Health Record and Its Association with Physician Burnout.Applied clinical informatics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElectronic health records (EHRs) demand a significant amount of physician time for documentation, orders, and communication during care delivery. Resident physicians already work long hours as they gain experience and develop both clinical and socio-technical skills.
objectivesMeasure how much time resident physicians spend in the EHR during clinic hours and after-hours, and how EHR usage changes as they gain experience over a 12-month period.
methodsLongitudinal descriptive study where participants were 622 resident physicians across postgraduate year cohorts (of 948 resident physicians at the institution, 65.6%) working in an ambulatory setting from July 2017 to June 2018. Time spent in the EHR per patient, patients records documented per day, and proportion of EHR time spent after-hours were the outcome, while the number of months of ambulatory care experience was the predictor.
resultsResident physicians spent an average of 45.6 minutes in the EHR per patient, with 13.5% of that time spent after-hours. Over 12 months of ambulatory experience, resident physicians reduced their EHR time per patient and saw more patients per day, but the proportion of EHR time after-hours did not change.
conclusionResident physicians spend a significant amount of time working in the EHR, both during and after clinic hours. While residents improve efficiency in reducing EHR time per patient, they do not reduce the proportion of EHR time spent after-hours. Concerns over the impact of EHRs on physician well-being should include recognition of the burden of EHR usage on early-career physicians.
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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.