July 21, 2014By Lance Baily

Performance Analysis Results When Teaching with Simulated EHR

Sharing this publication that B-Line Medical posted last week entitled Simulated Electronic Health Record (Sim-EHR) Curriculum: Teaching EHR Skills and Use of the EHR for Disease Management and Prevention (Dr. Christina E. Milano, MD, Dr. Joseph A. Hardman, MD, […], and Dr. Frances E. Biagioli, MD) which found simulated training moderately increased student performance with placing orders and updating charts.  Eventually all aspects of healthcare training will be accomplished through simulated training, from charting to patient communication, skill practice, and everything in between.

Excerpt of the article:

“Identifying strengths and gaps in the status quo:

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In September 2012, we conducted a preliminary analysis of student score data. When comparing data for students who completed the Sim-EHR exercise early versus later in their third year, we identified modest improvement in the more experienced students’ ability to place orders and update the chart, including the allergy section and medication list. However, we found no difference between the earlier and later students’ ability to use a health maintenance tool to create routine disease screening, prevention, and management alerts. We also found no difference in performance between all of the students and incoming interns, but we had data for only a small number of interns.

Such an analysis of score data may serve as a proxy for prioritizing which EHR skills need to be explicitly taught prior to graduation. We found universally low performance among both students and interns on specific objectives related to the knowledge of disease prevention, which suggests that there may be gaps in the predoctoral curriculum relating to the use of clinical decision support tools and the identification of evidence-based prevention guidelines. During our small-group sessions, students practice manipulating commonly used online tools and guidelines such as the World Health Organization’s Fracture Risk Assessment Tool (FRAX) and the University of Edinburgh’s cardiovascular risk calculator. Potential enhancements to the Sim-EHR curriculum include placing an increased emphasis on training students to use these and other similar decision support tools in tandem with their EHR work.”

Read the full article on the The National Center for Biotechnology Website.

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