Barriers to Medical Students’ Electronic Health Record Access Can Impede Their Preparedness for Practice
| Autor: | William R. Hersh, Catherine M. Welcher, Victoria Stagg Elliott, Richard E. Hawkins, Blaine Takesue |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
020205 medical informatics
education MEDLINE Documentation 02 engineering and technology Experiential learning Education Access to Information 03 medical and health sciences 0302 clinical medicine Nursing 0202 electrical engineering electronic engineering information engineering Electronic Health Records Humans Medicine 030212 general & internal medicine Curriculum Competence (human resources) health care economics and organizations Education Medical business.industry Medical record Problem-Based Learning General Medicine Problem-based learning Preparedness Clinical Competence business |
| Zdroj: | Academic Medicine. 93:48-53 |
| ISSN: | 1040-2446 |
| DOI: | 10.1097/acm.0000000000001829 |
| Popis: | Medical students need hands-on experience documenting clinical encounters as well as entering orders to prepare for residency and become competent physicians. In the era of paper medical records, students consistently acquired experience writing notes and entering orders as part of their clinical experience. Over the past decade, however, patient records have transitioned from paper to electronic form. This change has had the unintended consequence of limiting medical students' access to patient records. This restriction has meant that many students leave medical school without the appropriate medical record skills for transitioning to residency.In this article, the authors explore medical students' current access to electronic health records (EHRs) as well as policy proposals from medical societies, innovative models implemented at some U.S. medical schools, and other possible solutions to ensure that students have sufficient experiential learning opportunities with EHRs in clinical settings. They also contend that competence in the use of EHRs is necessary for students to become physicians who can harness the full potential of these tools rather than physicians for whom EHRs hinder excellent patient care. Finally, the authors argue that meaningful experiences using EHRs should be consistently incorporated into medical school curricula and that EHR-related skills should be rigorously assessed with other clinical skills. |
| Databáze: | OpenAIRE |
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