The distribution of activity is noteworthy, with morning peaks occurring when house staff have traditionally examined patients and communicated face-to-face. This supports anecdotal observations that the traditional model of gathering overnight updates at the bedside has evolved into electronic "prerounding." 1 While computer use decreased during teaching conferences, the persistent level of activity highlights the balance between education and patient care. Of note, this study was limited to a single specialty at 1 institution without direct observation. Responsibility for larger volumes of information, new documentation requirements, and poor user-interfaces could be contributing to increased EHR activity, highlighting opportunities to streamline workflow and directions for future study. As the role of EHRs increase, training programs should be aware of how EHRs might affect resident responsibilities and learning opportunities.
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