The Impact of Electronic Medical Records in Clinical Teaching Environments
e-Health ePoster Library. Singer A. Jun 6, 2017; 167102; EP06.03
Dr. Alexander Singer
Dr. Alexander Singer
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Abstract
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Purpose/Objectives: Limited research has investigated the implication of Electronic Medical Records (EMRs) on physician education and training and what tools and functionality medical educators need to effectively supervise and teach residents.

Methodology/Approach: A quantitative survey was developed to assess respondents experience related to EMR use and their impact in clinical teaching environments. Participants across Canada were invited to complete the survey online with an email invitation. The themes and topics were identified in a previous qualitative study conducted by our research group.

Finding/Results: There were 147 surveys completed representing respondents using all of the most common EMR products in Canada. Most respondents were family physicians (67%) with a smaller proportion of interdisciplinary (24%) and specialist providers (12%). Responses demonstrated that 50% of learners received no formal EMR training. A majority of respondents (51%) felt that EMRs improved the learning environment compared to paper charts. For most of the specific features related to teaching and supervision between 15-30% felt that their EMR performed sub-optimally, poor or horribly. Seventy five percent felt that reviewing encounter notes was the most important feature, with 62% of users reporting their workflow to be good, very good, or excellent.

Conclusion/Implication/Recommendations: Our findings suggest that EMR use in Canadian teaching environments has had an overall positive impact. Several EMR features related to teaching had sub-optimal use and there is much room for improvement in workflows across Canada. Many areas requiring improvement were identified and could be used to advocate for improved functionality from EMR vendors. Clinician teachers who use EMRs, professional organizations that accredit training programs as well as provincial licensing authorities should be aware of the advantages and limitations of EMR functionality related to teaching and supervision of learners. Further research is needed to identify the impact of improvements in EMR design on training environments.

140 Character Summary: Study suggests clinicians felt EMRs improve their clinical teaching but more work still needs to be done to improve teaching functionality.
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