Evidence map›Paper›PMID 40755057›Full record

SynthesisThe clinical teacher2025

Educational Interventions to Develop and Enhance Clinical Documentation Skills in Health Professional Students: A Systematic Review.

Sarah Wilesmith, Allison Mandrusiak, Ray Lang, Romany Martin, Andric Lu, Roma Forbes

Abstract readSystematic Review
In one paragraph

Synthesis in The clinical teacher, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

6 authors.

Sarah WilesmithSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.ORCID 0000-0002-5746-0636
Allison MandrusiakSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.ORCID 0000-0003-4180-9167
Ray LangSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.ORCID 0000-0002-3814-1971
Romany MartinSchool of Health Sciences, University of Tasmania, Launceston, Australia.ORCID 0000-0003-4837-8048
Andric LuNorth West Hospital and Health Service, Queensland Health, Mount Isa, Australia.
Roma ForbesSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.ORCID 0000-0002-9959-3875

Funding

Australian Government Research Training Program
6 · The paper itself

Abstract

backgroundClinical documentation is necessary for effective and safe healthcare practice. This paper systematically reviewed educational interventions aimed at developing entry-level health professional students' clinical documentation skills.

methodsA systematic search of electronic databases (PubMed, CINAHL, Embase and Cochrane) from January 2000 to May 2023 was performed, with additional forward and backward citation searching. Inclusion was limited to original manuscripts published in English from January 2000, reporting an experimental or quasi-experimental design and using objective performance-based measures. Quality appraisal was conducted using the Medical Education Research Study Quality Instrument (MERSQI), with narrative synthesis of results due to the heterogeneity of outcome measures.

resultsOf 5313 records identified, 29 studies were eligible for inclusion. The health professions represented were medicine, dentistry, nursing, pharmacy, psychology and veterinary science. Teaching methodologies included the following: didactic instruction; provision of templates, guidelines and/or examples; instructor-led group discussion; individual or group instructor feedback; near-peer or peer feedback; self-evaluation; writing practice activities; worked examples; and response-to-stimulus writing activities (written, video or live standardised patient cases). Research quality was low in MERSQI domains of 'study design' and 'validity of evaluation instruments'.

conclusionSeveral training methods appear valuable in developing student skills in clinical documentation; however, high-quality evaluation of documentation training interventions is lacking. Future research is recommended to compare existing methods of documentation training and to evaluate training in underexplored healthcare disciplines.

Indexed as

Clinical CompetenceDocumentationStudents, Health OccupationsHumansclinical documentationeducationhealth professionalstudentstrainingwritten communication

Identifiers

PMID40755057
PMCPMC12319399

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.