Electronic health records in outpatient clinics: Perspectives of third year medical students

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dc.contributor.author Emran Rouf en_US
dc.contributor.author Heidi Chumley en_US
dc.contributor.author Alison Dobbie en_US
dc.date.accessioned 2009-05-05T16:13:58Z
dc.date.available 2008 - en_US
dc.date.available 2009-05-05T16:13:58Z
dc.date.issued 2006-03-01 en_US
dc.identifier.citation Emran Rouf;Heidi Chumley;Alison Dobbie: Electronic health records in outpatient clinics: Perspectives of third year medical students. BMC Med Educ 2008, 8(1):13. en_US
dc.identifier.uri http://www.biomedcentral.com/1472-6920/8/13 en_US
dc.identifier.uri http://hdl.handle.net/2271/593
dc.description.abstract "BACKGROUND:United States academic medical centers are increasingly incorporating electronic health records (EHR) into teaching settings. We report third year medical students' attitudes towards clinical learning using the electronic health record in ambulatory primary care clinics.METHODS:In academic year 2005–06, 60 third year students were invited to complete a questionnaire after finishing the required Ambulatory Medicine/Family Medicine clerkship. The authors elicited themes for the questionnaire by asking a focus group of third year students how using the EHR had impacted their learning. Five themes emerged: organization of information, access to online resources, prompts from the EHR, personal performance (charting and presenting), and communication with patients and preceptors. The authors added a sixth theme: impact on student and patient follow-up. The authors created a 21-item questionnaire, based on these themes that used a 5-point Likert scale from ""Strongly Agree"" to ""Strongly Disagree"". The authors emailed an electronic survey link to each consenting student immediately following their clerkship experience in Ambulatory Medicine/Family Medicine.RESULTS:33 of 53 consenting students (62%) returned completed questionnaires. Most students liked the EHR's ability to organize information, with 70% of students responding that essential information was easier to find electronically. Only 36% and 33% of students reported accessing online patient information or clinical guidelines more often when using the EHR than when using paper charts. Most students (72%) reported asking more history questions due to EHR prompts, and 39% ordered more clinical preventive services. Most students (69%) reported that the EHR improved their documentation. 39% of students responded that they received more feedback on their EHR notes compared to paper chart notes. Only 64% of students were satisfied with the doctor-patient communication with the EHR, and 48% stated they spent less time looking at the patient.CONCLUSION:Third year medical students reported generally positive attitudes towards using the EHR in the ambulatory setting. They reported receiving more feedback on their electronic charts than on paper charts. However, students reported significant concerns about the potential impact of the EHR on their ability to conduct the doctor-patient encounter." en_US
dc.format.extent 252587 bytes
dc.format.extent 2910 bytes
dc.format.extent 12055 bytes
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dc.format.extent 43 bytes
dc.format.mimetype application/pdf
dc.format.mimetype text/plain
dc.format.mimetype application/octet-stream
dc.format.mimetype application/octet-stream
dc.format.mimetype application/octet-stream
dc.language en en_US
dc.language.iso en_US
dc.publisher BioMedCentral en_US
dc.relation.ispartof 1472-6920 en_US
dc.relation.hasversion http://www.biomedcentral.com/content/pdf/1472-6920-8-13.pdf en_US
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en_US
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_US
dc.subject.mesh Adult en_US
dc.subject.mesh Ambulatory Care en_US
dc.subject.mesh Ambulatory Care Information Systems/ utilization en_US
dc.subject.mesh Clinical Clerkship/ methods en_US
dc.subject.mesh Computer Literacy en_US
dc.subject.mesh Education, Medical, Undergraduate/methods en_US
dc.subject.mesh Humans en_US
dc.subject.mesh Information Management/ education en_US
dc.subject.mesh Kansas en_US
dc.subject.mesh Medical Informatics/ education en_US
dc.subject.mesh Problem-Based Learning/ standards en_US
dc.subject.mesh Professional Competence en_US
dc.subject.mesh Program Evaluation en_US
dc.subject.mesh Schools, Medical en_US
dc.title Electronic health records in outpatient clinics: Perspectives of third year medical students en_US
dc.type article en_US
dc.date.captured 2009-04-27 en_US
dc.identifier.doi doi:10.1186/1472-6920-8-13 en_US
dc.identifier.pmid 16509977 en_US

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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