Electronic health record training in undergraduate medical education: Bridging theory to practice with curricula for empowering patient-and relationship-centered care in the computerized setting

Academic Medicine

Volumn 89, Issue 3, 2014, Pages 380-386

  Wald, Hedy S ^a   George, Paul ^a   Reis, Shmuel P ^b   Taylor, Julie Scott ^a  

^a BROWN UNIVERSITY   (United States)

^b BAR ILAN UNIVERSITY   (Israel)

Author keywords

[No Author keywords available]

Indexed keywords

CURRICULUM; DOCTOR PATIENT RELATION; ELECTRONIC MEDICAL RECORD; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL EDUCATION; MEDICAL INFORMATICS; METHODOLOGY; PATIENT CARE; PATIENT PARTICIPATION; REVIEW;

COMMUNICATION; CURRICULUM; EDUCATION, MEDICAL, UNDERGRADUATE; ELECTRONIC HEALTH RECORDS; HUMANS; MEDICAL INFORMATICS APPLICATIONS; PATIENT PARTICIPATION; PATIENT-CENTERED CARE; PHYSICIAN-PATIENT RELATIONS;

EID: 84894678885     PISSN: 10402446     EISSN: 1938808X     Source Type: Journal    
DOI: 10.1097/ACM.0000000000000131     Document Type: Review

References (92)

1. Ventres W, Kooienga S, Marlin R. EHRs in the exam room: Tips on patient-centered care. Fam Pract Manag. 2006;13:45-47.
2. Graham-Jones P, Jain SH, Friedman CP, Marcotte L, Blumenthal D. The need to incorporate health information technology into physicians' education and professional development. Health Aff (Millwood). 2012;31:481-487.
3. Blumenthal D, Glaser JP. Information technology comes to medicine. N Engl J Med. 2007;356:2527-2534.
4. Shachak A, Reis S. The impact of electronic medical records on patient-doctor communication during consultation: A narrative literature review. J Eval Clin Pract. 2009;15:641-649.
5. Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
6. Blumenthal D. Launching HITECH. N Engl J Med. 2010;362:382-385.
7. Triola MM, Friedman E, Cimino C, Geyer EM, Wiederhorn J, Mainiero C. Health information technology and the medical school curriculum. Am J Manag Care. 2010;16(12 spec no):SP54-SP56.
8. McGowan JJ, Passiment M, Hoffman HM. Educating medical students as competent users of health information technologies: The MSOP data. Stud Health Technol Inform. 2007;129(pt 2):1414-1418.
9. Shortliffe EH. Biomedical informatics in the education of physicians. J Am Med Assoc. 2010;304:1227-1228.
10. Bembridge E, Levett-Jones T, Jeong SY. The preparation of technologically literate graduates for professional practice. Contemp Nurse. 2010;35:18-25.
11. Borycki E, Joe RS, Armstrong B, Bellwood P, Campbell R. Educating health professionals about the electronic health record (EHR): Removing the barriers to adoption. Knowl Manag E-Learning. 2011;3:51-62.
12. Meyer L, Sternberger C, Toscos T. How to implement the electronic health record in undergraduate nursing education. Am Nurse Today. 2011;6(5). http://www.americannursetoday.com/article. aspx?id=7830&fid=7770. Accessed November 17, 2013.
13. Wald HS, Dube CE, Anthony DC. Untangling the Web-the impact of Internet use on health care and the physician-patient relationship. Patient Educ Couns. 2007;68:218-224.
14. Rouf E, Chumley HS, Dobbie AE. Electronic health records in outpatient clinics: Perspectives of third year medical students. BMC Med Educ. 2008;8:13.
15. Lown BA, Rodriguez D. Commentary: Lost in translation? How electronic health records structure communication, relationships, and meaning. Acad Med. 2012;87:392-394.
16. Yudkowsky R, Galanter W, Jackson R. Students overlook information in the electronic health record. Med Educ. 2010;44:1132-1133.
17. Hartzband P, Groopman J. Off the record-avoiding the pitfalls of going electronic. N Engl J Med. 2008;358:1656-1658.
18. Margalit RS, Roter D, Dunevant MA, Larson S, Reis S. Electronic medical record use and physician-patient communication: An observational study of Israeli primary care encounters. Patient Educ Couns. 2006;61:134-141.
19. Shachak A, Hadas-Dayagi M, Ziv A, Reis S. Primary care physicians' use of an EMR system: A cognitive task analysis. J Gen Intern Med. 2009;24:341-348.
20. Lipkin M Jr, Williamson PR. Teaching interviewing using direct observation and discussion of actual interviews. In: Lipkin M, Putnam SM, Lazare A, eds. The Medical Interview: Clinical Care, Education, and Research. New York, NY: Springer-Verlag; 1995:413-422.
21. Robbins JA, Bertakis KD, Helms LJ, Azari R, Callahan EJ, Creten DA. The influence of physician practice behaviors on patient satisfaction. Fam Med. 1993;25:17-20.
22. Fremont AM, Cleary PD, Hargraves JL, Rowe RM, Jacobson NB, Ayanian JZ. Patientcentered processes of care and long-term outcomes of myocardial infarction. J Gen Intern Med. 2001;16:800-808.
23. Haskard Zolnierek KB, Di Matteo MR. Physician communication and patient adherence to treatment: A meta-analysis. Med Care. 2009;47:826-834.
24. Stewart M. Towards a global definition of patient centred care. BMJ. 2001;322:444-445.
25. Beach MC, Inui T; Relationship-Centered Care Research Network. Relationshipcentered care. A constructive reframing. J Gen Intern Med. 2006;21(suppl 1):S3-S8.
26. Mintz M, Narvarte HJ, O'Brien KE, Papp KK, Thomas M, Durning SJ. Use of electronic medical records by physicians and students in academic internal medicine settings. Acad Med. 2009;84:1698-1704.
27. Peled JU, Sagher O, Morrow JB, Dobbie AE. Do electronic health records help or hinder medical education? PLoS Med. 2009;6:e1000069.
28. Ventres WB, Frankel RM. Patient-centered care and electronic health records: It's still about the relationship. Fam Med. 2010;42:364-366.
29. Tierney MJ, Pageler NM, Kahana M, Pantaleoni JL, Longhurst CA. Medical education in the electronic medical record (EMR) era: Benefits, challenges, and future directions. Acad Med. 2013;88: 748-752.
30. Reis S, Cohen-Tamir H, Eger-Dreyfuss LL, et al. The Israeli doctor-computer communication study: An educational intervention pilot report and its implications for person-centered medicine. Int J Person Centered Med. 2012;1:776-781.
31. Duke P, Reis S, Frankel RM. A skills-based approach for integrating the EHR and patient-centered care into the medical visit. Teach Learn Med. 2013;25:358-365.
32. American Academy of Communication in Health Care. EHRICH Workshop. The Art of Communication and the EMR. 2011. http://www.aachonline. org/?page=ENRICHWorkshop. Accessed November 17, 2013.
33. Stephens MB, Gimbel RW, Pangaro L. Commentary: The RIME/EMR scheme: An educational approach to clinical documentation in electronic medical records. Acad Med. 2011;86:11-14.
34. Morrow JB, Dobbie AE, Jenkins C, Long R, Mihalic A, Wagner J. First-year medical students can demonstrate EHR-specific communication skills: A control-group study. Fam Med. 2009;41:28-33.
35. Heeyoung H, Lopp L, Waters T. Preserving patient relationship-centered care while utilizing EMRs: Self-study module for year 2 medical students. Presented at: CGEA; March 2012; Saint Louis, M.o.
36. Silverman H, Cohen T, Fridsma D. The evolution of a novel biomedical informatics curriculum for medical students. Acad Med. 2012;87:84-90.
37. Mavis BE, Brocato JJ. Virtual discourse: Evaluating DR-ED as a computer mediated communications network for medical education. J Educ Comput Res. 1998;19: 53-65.
38. Schuwirth LW, Van der Vleuten CP. Programmatic assessment: From assessment of learning to assessment for learning. Med Teach. 2011;33:478-485.
39. Lipscomb L, Swanson J, West A. Scaffolding. http://epltt.coe.uga.edu/ index. php?title=Scaffolding. Accessed November 17, 2013.
40. Mezirow J. Transformative Dimensions of Adult Learning. San Francisco, Calif: Jossey-Bass; 1991.
41. Davis MH, Harden RM. Planning and implementing an undergraduate medical curriculum: The lessons learned. Med Teach. 2003;25:596-608.
42. Kern DE, Thomas PA, Howard DM, Bass EB. Curriculum Development for Medical Education: A Six-Step Approach. Baltimore, Md: Johns Hopkins Press; 1998.
43. Schon D. The Reflective Practitioner: How Professionals Think in Action. New York, NY: Basic Books; 1983.
44. Harden R, Stamper N. What is a spiral curriculum? Med Teach. 1999;21:141-143.
45. Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA. 2002;287:226-235.
46. Shapiro J, Coulehan J, Wear D, Montello M. Medical humanities and their discontents: Definitions, critiques, and implications. Acad Med. 2009;84:192-198.
47. Verghese A. The physician as storyteller. Ann Intern Med. 2001;135:1012-1017.
48. Charon R. At the membranes of care: Stories in narrative medicine. Acad Med. 2012;87:342-347.
49. Charon R. Narrative medicine: A model for empathy, reflection, profession, and trust. JAMA. 2001;286:1897-1902.
50. Wald HS. Insights into professional identity formation in medicine: Memoirs and poetry. Eur Legacy. 2011;16:377-384.
51. Prober CG, Heath C. Lecture halls without lectures-a proposal for medical education. N Engl J Med. 2012;366:1657-1659.
52. Kowitlawakul Y. Development and validation of a health information technology learning model. Presented at: 5th International Clinical Skills Conference; May 23, 2013; Prato, Italy.
53. Ten Cate TJ, Kusurkar RA, Williams GC. How self-determination theory can assist our understanding of the teaching and learning processes in medical education. AMEE guide no. 59. Med Teach. 2011;33:961-973.
54. Bart M. The 5 R's of engaging millenial students. November 16, 2011. http://www. facultyfocus.com/articles/teaching-andlearning/the-five-rs-of- engaging-millennialstudents/. Accessed November 17, 2013.
55. Wald HS, Davis SW, Reis SP, Monroe AD, Borkan JM. Reflecting on reflections: Enhancement of medical education curriculum with structured field notes and guided feedback. Acad Med. 2009;84:830-837.
56. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10 suppl):S70-S81.
57. Epstein RM. Mindful practice. JAMA. 1999;282:833-839.
58. Epstein RM. Assessment in medical education. N Engl J Med. 2007;356:387-396.
59. Sandars J. The use of reflection in medical education: AMEE guide no. 44. Med Teach. 2009;31:685-695.
60. Boud D, Keogh R, Walker D, eds. Reflection: Turning Experience Into Learning. London, England: Kogan Page; 1985.
61. Quirk M. Intuition and Metacognition in Medical Education. New York, NY: Springer Publishing Co.; 2006.
62. Epstein RM, Siegel DJ, Silberman J. Selfmonitoring in clinical practice: A challenge for medical educators. J Contin Educ Health Prof. 2008;28:5-13.
63. Bordage G, Harris I. Making a difference in curriculum reform and decision-making processes. Med Educ. 2011;45:87-94.
64. Eva KW, Regehr G. I'll never play professional football and other fallacies of self-assessment. J Contin Educ Health Prof. 2008;28:14-19.
65. Leach DC. Competence is a habit. JAMA. 2002;287:243-244.
66. Nothnagle M, Goldman R, Quirk M, Reis S. Promoting self-directed learning skills in residency: A case study in program development. Acad Med. 2010;85:1874-1879.
67. Taylor JS, Daniel M, George PF, Warrier S, Dodd K, Dollase RH. Warren Alpert Medical School's doctoring program: A comprehensive, integrated clinical curriculum. Med Health R I. 2012;95: 313-316.
68. Taylor JS, Reis SP, George PF, Wald HS, Borkan JM. Intimate physical examinations: An innovative program of instruction and reflection for medical students. Int J Clin Skills. In press.
69. Charon R. Narrative Medicine: Honoring the Stories of Illness. New York, NY: Oxford; 2006.
70. De Haes JC, Oort FJ, Hulsman RL. Summative assessment of medical students' communication skills and professional attitudes through observation in clinical practice. Med Teach. 2005;27:583-589.
71. Greenwood J. Reflective practice: A critique of the work of Argyris and Schon. J Adv Nurs. 1993;18:1183-1187.
72. Welke TM, LeBlanc VR, Savoldelli GL, et al. Personalized oral debriefing versus standardized multimedia instruction after patient crisis simulation. Anesth Analg. 2009;109:183-189.
73. Khan K, Pattison T, Sherwood M. Simulation in medical education. Med Teach. 2011; 33:1-3.
74. Jarvis-Selinger S, Pratt DD, Regehr G. Competency is not enough: Integrating identity formation into the medical education discourse. Acad Med. 2012;87:1185-1190.
75. Toll E. A piece of my mind-the cost of technology. JAMA. 2012;307: 2497-2498.
76. Donato A. The soul-less note. Acad Med. 2011;86:157.
77. Hirschtick RE. John Lennon's elbow. JAMA. 2012;308:463-464.
78. Hulsman RL, Harmsen AB, Fabriek M. Reflective teaching of medical communication skills with DiViDU: Assessing the level of student reflection on recorded consultations with simulated patients. Patient Educ Couns. 2009;74: 142-149.
79. Spencer DC, Choi D, English C, Girard D. The effects of electronic health record implementation on medical student educators. Teach Learn Med. 2012;24: 106-110.
80. Frankel R, Altschuler A, Genge S, et al. Effects of exam-room computing on clinician-patient communication. J Gen Intern Med. 2005;20:677-682.
81. O'Malley AS, Cohen GR, Grossman JM. Electronic medical records and communication with patients and other clinicians: Are we talking less? Issue Brief Cent Stud Health Syst Change. April 2010:1-4.
82. Shaughnessy AF, Gupta PS, Erlich DR, Slawson DC. Ability of an information mastery curriculum to improve residents' skills and attitudes. Fam Med. 2012;44: 259-264.
83. Doyle RJ, Wang N, Anthony D, Borkan J, Shield RR, Goldman RE. Computers in the examination room and the EHR: Physicians' perceived impact on clinical encounters before and after full installation and implementation. Fam Pract. 2012;29: 601-608.
84. Teo AR, Harleman E, O'sullivan PS, Maa J. The key role of a transition course in preparing medical students for internship. Acad Med. 2011;86:860-865.
85. Kirkpatrick D. Revisiting Kirkpatrick's four-level model. Train Dev. 1996;50: 54-59.
86. Assis-Hassid S, Heart T, Reychav I, Pliskin JS, Reis S. Existing instruments for assessing physician communication skills: Are they valid in a computerized setting? Patient Educ Couns. 2013;93:363-366.
87. Doukas DJ, McCullough LB, Wear S; Project to Rebalance and Integrate Medical Education (PRIME) Investigators. Perspective: Medical education in medical ethics and humanities as the foundation for developing medical professionalism. Acad Med. 2012;87:334-341.
88. Wald HS, Borkan JM, Taylor JS, Anthony D, Reis SP. Fostering and evaluating reflective capacity in medical education: Developing the REFLECT rubric for assessing reflective writing. Acad Med. 2012;87:41-50.
89. Wald HS, Boudreau JD, Donato AA. Professional identity formation for humanistic health care practitioners: Three pedagogic strategies for bridging theory to practice in medical education. Panel presentation at: Generalists in Medical Education conference; November 1, 2013; Philadelphia, P.a.
90. Borrell-Carrió F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: Principles, practice, and scientific inquiry. Ann Fam Med. 2004;2: 576-582.
91. Lee WW, Alcocer L. Teaching patientcentered use of the electronic medical record. Poster presentation at: SGIM; April 26, 2013; Denver, Colo.
92. Keenan CR, Nguyen HH, Srinivasan M. Electronic medical records and their impact on resident and medical student education. Acad Psychiatry. 2006;30:522-527.