Self-Perceptions of Readiness to Use Electronic Health Records Among Medical Students: Survey Study.

Autor:	Lander L; Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, United States., Baxter SL; Department of Biomedical Informatics, University of California San Diego Health, La Jolla, CA, United States.; Shiley Eye Institute and Viterbi Family Department of Ophthalmology, University of California San Diego, La Jolla, CA, United States., Cochran GL; College of Pharmacy, University of Nebraska Medical Center, Omaha, NE, United States., Gali HE; School of Medicine, University of California San Diego, La Jolla, CA, United States., Cook K; College of Pharmacy, University of Nebraska Medical Center, Omaha, NE, United States., Hatch T; Information Services Department, University of California San Diego Health, La Jolla, CA, United States., Taylor R; Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, United States., Awdishu L; Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA, United States.
Jazyk:	angličtina
Zdroj:	JMIR medical education [JMIR Med Educ] 2020 Jun 12; Vol. 6 (1), pp. e17585. Date of Electronic Publication: 2020 Jun 12.
DOI:	10.2196/17585
Abstrakt:	Background: Although several national organizations have declared the ability to work with electronic health records (EHRs) as a core competency of medical education, EHR education and use among medical students vary widely. Previous studies have reported EHR tasks performed by medical students, but students' self-perceived readiness and comfort with EHRs are relatively unknown. Objective: This study aimed to better understand medical students' self-perceived readiness to use EHRs to identify potential curricular gaps and inform future training efforts based on students' perspectives. Methods: The authors deployed a survey investigating self-perceived comfort with EHRs at 2 institutions in the United States in May 2019. Descriptive statistics were generated regarding demographics, comfort level with various EHR-related tasks, and cross-institutional comparisons. We also assessed the impact of extracurricular EHR experience on comfort level. Results: In total, 147 medical students responded, of which 80 (54.4%) were female, with equal distribution across all 4 years of training. Overall confidence was generally higher for students with longer extracurricular EHR experience, even when adjusted for age, gender, year of training, and institution. Students were most comfortable with tasks related to looking up information in the EHR and felt less comfortable with tasks related to entering new information and managing medications. Fourth-year students at both schools reported similar levels of comfort with EHR use, despite differences in preclinical EHR training. Open-ended comments emphasized the value of experiential training over didactic formats. Conclusions: Information entry and medication management in the EHR represent areas for future curricular development. Experiential training via extracurricular activities and early clinical exposure may be high-yield approaches to help medical students achieve critical EHR competencies. (©Lina Lander, Sally L Baxter, Gary L Cochran, Helena E Gali, Kristen Cook, Thomas Hatch, Regan Taylor, Linda Awdishu. Originally published in JMIR Medical Education (http://mededu.jmir.org), 12.06.2020.)
Databáze:	MEDLINE
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