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dc.contributor.authorEmran Roufen_US
dc.contributor.authorHeidi Chumleyen_US
dc.contributor.authorAlison Dobbieen_US
dc.date.accessioned2009-05-05T16:13:58Z
dc.date.available2009-05-05T16:13:58Z
dc.date.issued2006-03-01en_US
dc.identifier.citationEmran 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.urihttp://hdl.handle.net/2271/593en_US
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.languageenen_US
dc.language.isoen_USen_US
dc.publisherBioMedCentralen_US
dc.relation.isversionofhttp://www.biomedcentral.com/1472-6920/8/13en_US
dc.relation.hasversionhttp://www.biomedcentral.com/content/pdf/1472-6920-8-13.pdfen_US
dc.rightsThis 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.urihttp://creativecommons.org/licenses/by/2.0en_US
dc.subject.meshAdulten_US
dc.subject.meshAmbulatory Careen_US
dc.subject.meshAmbulatory Care Information Systems/ utilizationen_US
dc.subject.meshClinical Clerkship/ methodsen_US
dc.subject.meshComputer Literacyen_US
dc.subject.meshEducation, Medical, Undergraduate/methodsen_US
dc.subject.meshHumansen_US
dc.subject.meshInformation Management/ educationen_US
dc.subject.meshKansasen_US
dc.subject.meshMedical Informatics/ educationen_US
dc.subject.meshProblem-Based Learning/ standardsen_US
dc.subject.meshProfessional Competenceen_US
dc.subject.meshProgram Evaluationen_US
dc.subject.meshSchools, Medicalen_US
dc.titleElectronic health records in outpatient clinics: Perspectives of third year medical studentsen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/1472-6920-8-13en_US
dc.identifier.pmidPMC16509977en_US
dc.rights.accessrightsopenAccessen_US
dc.date.captured2009-04-27en_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.