Electronic Medical Records, Medical Students, and Ambulatory Family Physicians: A Multi-Institution Study

White, Jordan; Anthony, David; WinklerPrins, Vince; Roskos, Steven E.

doi:10.1097/acm.0000000000001673

Cited by 18 publications

(24 citation statements)

References 11 publications

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“…A possible solution of this issue is providing feedback to medical students after documentation which enhance documentation skills [ 38 ]. This finding also explained why most medical students who have access to medical records use seniors’ accounts, which also mentioned by other study [ 39 ]. Beside liability concerns, other studies mentioned other barriers such as billing, reduced productivity, financial concerns, and logistical and structural problems [ 3 , 6 , 18 ].…”

Section: Discussionsupporting

confidence: 78%

“…This finding also explained why most medical students who have access to medical records use seniors' Fig. 3 Participants' preference for the type of medical record they want to use in their future practice accounts, which also mentioned by other study [39]. Beside liability concerns, other studies mentioned other barriers such as billing, reduced productivity, financial concerns, and logistical and structural problems [3,6,18].…”

Section: Discussionmentioning

confidence: 57%

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Medical students’ experience with accessing medical records in Saudi Arabia: a descriptive study

Almulhem

2021

BMC Med Educ

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Background Medical students can enhance their knowledge by accessing patients’ medical records and documenting patient care. This study assessed medical students’ access to paper medical records and electronic health records (EHRs) in Saudi Arabia and compared students’ experience of accessing paper medical records and EHR from their perspective. Methods This cross-sectional study enrolled second-year to intern medical students randomly from different medical colleges in Saudi Arabia. A self-developed survey was administered to them. It comprised 28 items in three sections: general information about medical students and their level of accessing medical records, their experience with the medical record system used in hospitals, and their preference for the medical record type. Results 62.8% of participants had access to medical records, with 66.1% of them having access to EHRs and 83.27% had read-only access. The EHR group and paper group mostly liked being able to reach medical records effortlessly (70.1% and 67.1%, respectively). The EHR group had a better experience compared to the paper group with U = 5200, Mean Rank = 122.73, P = .04. Students who trained in University – owned and National Guard hospitals had better experiences compared to students who trained in other hospitals with Mean Ranks =122.35, and 147.99, respectively. Conclusion Incorporating EHR access into the medical curriculum is essential for creating new educational opportunities that are not otherwise available to medical students.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 57%

Medical students’ experience with accessing medical records in Saudi Arabia: a descriptive study

Almulhem

2021

BMC Med Educ

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“…Many of them have shown that most students access EHRs while they are in medical school. [4][5][6][7][8][9][10] This is not surprising given the widespread use of EHR systems in clinical settings and calls to incorporate instruction in EHR competencies early in a physician's education. Studies also suggest, however, that some medical students receive limited opportunities to enter information, including notes and orders, into patient records in EHRs.…”

Section: Introductionmentioning

confidence: 99%

“…Studies also suggest, however, that some medical students receive limited opportunities to enter information, including notes and orders, into patient records in EHRs. [4][5][6][7][8][9][10] This tends to occur despite their ability to access them generally.…”

Section: Introductionmentioning

confidence: 99%

Medical student experiences with accessing and entering patient information in electronic health records during the obstetrics-gynecology clerkship

Hammoud

Foster

Cuddy

et al. 2020

American Journal of Obstetrics and Gynecology

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Some medical students may not receive sufficient experience entering information into electronic health records during the obstetrics and gynecology clerkship, which could result in lack of preparedness for residency. Short Title: OBGYN Student use of EHRs AJOG At a Glance:A. This study examined medical student reported use of electronic health records during the obstetrics and gynecology clerkship. B. While the majority of medical students viewed electronic health records, far fewer were able to enter notes and order. C. Students may not receive adequate experience with entering information into electronic health records during the obstetrics and gynecology clerkship.

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“…Studies of medical and nursing student placements show significant variability across settings in the types and volume of documentation performed by students into eMRs. [8][9][10][11][12][13] Organizational policies regarding student eMR access also vary across placement sites. 14 Several barriers to student eMR access and documentation have been identified, including, for example, university and hospital policies and processes, concerns about medical liability, and logistical issues (e.g., training and access).…”

Section: Background and Significancementioning

confidence: 99%

An Exploratory Study of Allied Health Students' Experiences of Electronic Medical Records During Placements

et al. 2022

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Background Allowing students to access and document in electronic medical records (eMRs) during clinical placements is viewed as critical for ensuring that graduates have a high level of digital proficiency prior to entering the workforce. Limited studies have explored student access to eMRs in health disciplines outside of medicine and nursing. Objective Our main objective was to examine allied health students' experiences and perceptions of the opportunity to develop eMR competencies during their placement, across a range of allied health disciplines and placement settings. Methods An explanatory sequential design was used, comprising a quantitative survey (n = 102) followed by qualitative semi-structured interviews (n = 6) with senior allied health students to explore their experiences and perceptions of eMR access during placements. Results Of the 93 students who responded to the question about their placement eMR, nine (10%) reported their placement site did not use an eMR and four students reported that they were not allowed to access the eMR during their placement. Most students (64%, 54 out of 84) accessed the system using their own credentials, but 31% (26 out of 84) used someone else's log-in and password. Students were satisfied with the eMR training and support received while on placement, but there was significant variability across sites on the level of training and support provided. All students believed that eMR access was beneficial for learning and preparation for work, improved delivery of care, taking ownership of work, and feeling responsible for patient care. Conclusion Providing students with access to eMRs during placements is fundamental to the development of a student's professional identity and to recognizing their role in the delivery of interprofessional patient care. For graduates to be equipped to effectively contribute to multi-disciplinary care in a digital health environment, universities need to work with practice partners to standardize and formalize eMR access, registration, training, and support, and to provide students with early exposure and training on eMRs in university courses.

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Electronic Medical Records, Medical Students, and Ambulatory Family Physicians: A Multi-Institution Study

Cited by 18 publications

References 11 publications

Medical students’ experience with accessing medical records in Saudi Arabia: a descriptive study

Medical students’ experience with accessing medical records in Saudi Arabia: a descriptive study

Medical student experiences with accessing and entering patient information in electronic health records during the obstetrics-gynecology clerkship

An Exploratory Study of Allied Health Students' Experiences of Electronic Medical Records During Placements

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