Incorporating Electronic Medical Records into the Physician Assistant Educational Curriculum

Barnett, Jacqueline S.

doi:10.1097/01367895-201324020-00012

Cited by 6 publications

(6 citation statements)

References 23 publications

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“…As proposed by Barnett et al, electronic medical records could be incorporated into the PA training curriculum during the history and physical examination course or during the clinical decision-making course. 16 While analyzing medical student expo sure to electronic medical records, Saultz et al found that more than 50% of clerkship placement sites have elec tronic medical records compared to 18% noted in prior years.8, 18 Our results indicate that the majority of PA programs introduce students to the concepts of the PC M H through traditional lecture formats. As the PCM H might be a newer concept among PA faculty, it may be effective to deliver its core concepts through invited guest speakers and seminar ses sions by health policy experts.…”

Section: Discussionmentioning

confidence: 65%

“…This finding is in con trast to previous studies, which have reported that PA students have limited exposure to electronic medical records, especially in the classroom setting. 16 It is likely that the incorporation of elec tronic medical records into PA educa tion is rapidly expanding. Also, many PA programs have started exposing students to patients early in their train ing.17 This "early and often" longitudi nal exposure of students to patients may explain the increased instruction in electronic medical records during the didactic phase.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patient-Centered Medical Homes and Physician Assistant Education: Preparing the PA Student for the Practice of the Future

Kayingo

Kidd

Warner

2014

The Journal of Physician Assistant Education

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Purpose: The patie n t-ce n te re d m edical hom e (PCMH) ho ld s prom ise fo r im p ro vin g p rim ary health care delivery, b u t little is know n a b o u t its im p a ct on m edical education. The purpose o f th is stu d y w as to exam ine th e e xtent to w h ich physician a ssista n t (PA) stu d e n ts are exposed to elem ents o f th e PCMH d u rin g th e d id a ctic and clin ica l phases o f th e ir education. Methods: A survey w as d is trib u te d to clin ica l co o rd in a to rs a t all accredited PA program s in th e U nited States th a t m et th e stu d y in clu sio n crite ria . The survey in q u ire d a b o u t curricu la ce ntral to practice in th e PCMH: team -based care, ele ctro n ic m edical record u tiliz a tio n , and p rin cip le s o f care co o rd in a tio n . Results: O f th e 211 c lin ic a l c o o rd in a to rs th a t w ere surveyed, we received responses from 87 (41% ), o f w hich 9 4 % stated th a t th e y teach p rin cip le s o f in te rp ro fe ssio n a l team -based practice d u rin g th e d id a c tic phase. S ixty percent or m ore teach concepts related to ph ysicia n -d ire cte d team s, q u a lity im p ro ve m e n t, care co o rd in a tio n , and e le ctro n ic m edical records. O nly 25% o f resp o n d e n ts provide in stru ctio n in paym ent stru ctu re s th a t reward care co o rd in a tio n and high q u a l ity care, and 2 2 % stated th a t th e ir stu d e n ts do n o t have exposure to th e PCMH. M ost im p o rta n tly, less th a n 25% o f resp o n d e n ts u tilize d e sig nated PCMH clin ic a l site s, and th o se th a t do have been d o in g so fo r less th a n tw o years. Conclusion: M any PA program s teach som e o f th e core concepts o f PCMH d u rin g th e d id a ctic phase, b u t exposure to PCMH d u rin g clin ica l cle rksh ip s rem ains lim ite d . Concerted e ffo rt is needed to b e tte r prepare PA stu d e n ts to fu n ctio n in th e se em erging team -based practices.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Patient-Centered Medical Homes and Physician Assistant Education: Preparing the PA Student for the Practice of the Future

Kayingo

Kidd

Warner

2014

The Journal of Physician Assistant Education

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“…Although it can be assumed that students will acquire EHR skills during supervised clinical training, practicing clinicians struggle to employ such systems effectively. While they are cultivating connections and communicating well with patients, 2 supervising clinicians' EHR skills can vary, and consequently, student exposure and access to EHRs during clinical training may be inconsistent. 3,4 Despite the importance and ubiquitous nature of EHRs, there is little research on PA student EHR exposure and instruction.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Despite the importance and ubiquitous nature of EHRs, there is little research on PA student EHR exposure and instruction. 2,4 Specific training is not mandated in the Accreditation Review Commission on Education for the Physician Assistant Standards. 4 Yet, research shows that didactic EHR training is necessary, 4 and the Alliance for Clinical Education recommends that EHR training be done in the didactic setting to ensure students develop positive EHR skills and avoid developing bad habits.…”

Section: Introductionmentioning

confidence: 99%

Assessing Physician Assistant Student Electronic Health Record Competency Using an Objective Structured Clinical Examination

Jacobsen

Drummond

Biagioli

et al. 2021

J Physician Assist Educ

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Purpose Evaluate didactic year physician assistant (PA) student competency in electronic health record (EHR) communication and data management. Methods This study used an Objective Structured Clinical Examination (OSCE) to measure PA students' EHR patient communication and data skills. Results Most students demonstrated good EHR communication skills overall, while few students moved the computer to better facilitate the visit or verified the patient's identity. Additionally, few students demonstrated EHR data skills by reviewing patient history and medications. Conclusions Utilizing an OSCE to assess EHR competence can highlight areas for curricular improvement in order to improve EHR skills.

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“…Most published articles consist of mixed positive and negative perceptions, anecdotes, and clinical experiences. The impact of EHR on residents’ clinical notes is mixed [ 6 – 10 ]. Previous studies have shown that transitioning to EHR can improve quality of clinical notes, yet its pre-formatted templates, copy–paste function, and auto-filled data have an unknown impact on residents’ clinical reasoning [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of electronic health record software design on resident documentation and compliance with evidence-based medicine

et al. 2017

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This study aimed to determine the role of electronic health record software in resident education by evaluating documentation of 30 elements extracted from the American Academy of Ophthalmology Dry Eye Syndrome Preferred Practice Pattern. The Kresge Eye Institute transitioned to using electronic health record software in June 2013. We evaluated the charts of 331 patients examined in the resident ophthalmology clinic between September 1, 2011, and March 31, 2014, for an initial evaluation for dry eye syndrome. We compared documentation rates for the 30 evidence-based elements between electronic health record chart note templates among the ophthalmology residents. Overall, significant changes in documentation occurred when transitioning to a new version of the electronic health record software with average compliance ranging from 67.4% to 73.6% (p < 0.0005). Electronic Health Record A had high compliance (>90%) in 13 elements while Electronic Health Record B had high compliance (>90%) in 11 elements. The presence of dialog boxes was responsible for significant changes in documentation of adnexa, puncta, proptosis, skin examination, contact lens wear, and smoking exposure. Significant differences in documentation were correlated with electronic health record template design rather than individual resident or residents’ year in training. Our results show that electronic health record template design influences documentation across all resident years. Decreased documentation likely results from “mouse click fatigue” as residents had to access multiple dialog boxes to complete documentation. These findings highlight the importance of EHR template design to improve resident documentation and integration of evidence-based medicine into their clinical notes.

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Incorporating Electronic Medical Records into the Physician Assistant Educational Curriculum

Cited by 6 publications

References 23 publications

Patient-Centered Medical Homes and Physician Assistant Education: Preparing the PA Student for the Practice of the Future

Patient-Centered Medical Homes and Physician Assistant Education: Preparing the PA Student for the Practice of the Future

Assessing Physician Assistant Student Electronic Health Record Competency Using an Objective Structured Clinical Examination

The effect of electronic health record software design on resident documentation and compliance with evidence-based medicine

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