Training medical students and residents in the use of electronic health records: a systematic review of the literature

Abstract

Objective Our objectives were to identify educational interventions designed to equip medical students or residents with knowledge or skills related to various uses of electronic health records (EHRs), summarize and synthesize the results of formal evaluations of these initiatives, and compare the aims of these initiatives with the prescribed EHR-specific competencies for undergraduate and postgraduate medical education. Materials and Methods We conducted a systematic review of the literature following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta Analyses) guidelines. We searched for English-language, peer-reviewed studies across 6 databases using a combination of Medical Subject Headings and keywords. We summarized the quantitative and qualitative results of included studies and rated studies according to the Best Evidence in Medical Education system. Results Our search yielded 619 citations, of which 11 studies were included. Seven studies involved medical students, 3 studies involved residents, and 1 study involved both groups. All interventions used a practical component involving entering information into a simulated or prototypical EHR. None of the interventions involved extracting, aggregating, or visualizing clinical data for panels of patients or specific populations. Discussion This review reveals few high-quality initiatives focused on training learners to engage with EHRs for both individual patient care and population health improvement. In comparing these interventions with the broad set of electronic records competencies expected of matriculating physicians, critical gaps in undergraduate and postgraduate medical education remain. Conclusions With the increasing adoption of EHRs and rise of competency-based medical education, educators should address the gaps in the training of future physicians to better prepare them to provide high quality care for their patients and communities.

Digital Health Training Programs for Medical Students: Scoping Review

“…Such an analysis should explore the content, duration, pedagogy, learning objectives, course integration, assessment methods, format, delivery, and evaluation of reported digital health courses with the aim of informing the development of future courses. Several reviews have been published focusing on training in specific areas within digital health, such as telemedicine [24][25][26], electronic health record (EHR) training [27], computer literacy, and medical informatics [28,29]. However, digital health education should be comprehensive and systematic [30,31].…”

Bringing Ophthalmic Graduate Medical Education into the 2020s with Information Technology

“…21 Curricula in EHRs have been piloted in medical education, although none specifically in the field of ophthalmology, and of the 11 reported interventions, only 4 target residents. 22 Educational strategies that have been described previously in EHR curricula include simulated EHRs with virtual patients and scribes, review and correction of sample charts, web-based modules, and direct faculty observation with reflective assessment. 21,23e28 Trainees should also be able to use the EHR to communicate effectively with other providers by clearly demonstrating the thought process in problem-based organized notes with supporting data incorporated into each subheading.…”

Structural Model of a Training Computer Program for Improving Professional Skills of a Student in a Role of a District Polyclinic Physician

“…In turn, the authors of the program considered as one of the main difficulties a necessity of database updating with regard to decease treatment recommendations and guidelines. A positive effect of using EMR in training of higher medical schools' students was demonstrated in [10][11][12] as an important part of an education, while students, in turn, reported that mastering EMR had a positive role in preparing them for a future profession [13,14].…”