Use of an Electronic Medical Record to Profile the Continuity Clinic Experiences of Primary Care Residents

Sequist, Thomas D.; Singh, Surya; Pereira, Anne G.; Rusinak, Donna; Pearson, Steven D.

doi:10.1097/00001888-200504000-00017

Cited by 33 publications

(44 citation statements)

References 5 publications

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“…[3][4][5][6][7][8][9][10][11][12][13][14] Acting as important benchmarks, these studies offered the first glimpses into the adoption of EHR and PDAs in specific settings or by specific groups of physicians. The majority of studies examining PDA use by primary care physicians, for instance, focused on the academic setting.…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, EHR use has been studied in populations of academic or researchoriented primary care physicians. [10][11][12][13][14] Separate research has also been presented on primary care physicians' EHR use in the urban setting 3 as well as in the rural primary care setting. 12 Moreover, case studies and analysis of post-EHR implementations are common, [15][16][17][18][19] as are studies of primary care physicians' use of specific EHR functions or applications.…”

Section: Introductionmentioning

confidence: 99%

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Examining the adoption of electronic health records and personal digital assistants by family physicians in Florida

Menachemi¹,

Perkins²,

VanDurme³

et al. 2006

Journal of Innovation in Health Informatics

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Purpose The purpose of this paper is to comprehensively characterise the current use of electronic health records (EHRs) and personal digital assistants (PDAs) among family physicians in Florida; and to compare family physicians with other doctors with respect to the functions commonly used on their EHR and PDA systems. Methods A postal survey was sent to family physicians (n=2076) and other doctors with a clear and active licence in Florida (total n=14 921). To examine factors among family physicians related to EHR and PDA use, binary logistic regression modelling techniques were utilised. Chi-square analysis was used to compare EHR and PDA functions between family physicians and other doctors. Results A total of 4203 responses, of which 756 were from family physicians, were available for the current study (28.2% overall response rate). EHR use among family physicians was significantly related to large practice size, urban location and young physician age, after controlling for confounders. Likewise, PDA usage among family physicians was independently associated with male gender and younger physician age. Additionally, even though no differences in overall EHR adoption were found, family physicians, when compared with other physicians, were significantly more likely to be using a more robust set of EHR functions. This included allergy and medication lists, diagnosis, problem lists, patient scheduling and educational materials, preventive services reminders and access to reference material. Conclusions Even though family physicians utilise many EHR and PDA functions more commonly than other physician groups, the overall level of EHR adoption among family physicians remains low. Until more barriers to the use of EHR are minimised, the goals of the Future of Family Medicine Report to broadly implement EHR and other health IT functions will not be fully realised.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Examining the adoption of electronic health records and personal digital assistants by family physicians in Florida

Menachemi¹,

Perkins²,

VanDurme³

et al. 2006

Journal of Innovation in Health Informatics

View full text Add to dashboard Cite

show abstract

“…Recording the principal diagnoses of patients managed by residents is feasible with a modern electronic health record (EHR), but existing studies using this approach have had limitations. [1][2][3] Prior studies have attributed clinical experience to the final clinician who saw a patient, which may not capture the experience of multiple other physicians who could have admitted or followed the daily progress of patients. 2 Accurately capturing clinical diagnoses seen by trainees is important but difficult, as granular billing codes may be too specific to quantify clinical experience.…”

Section: Introductionmentioning

confidence: 99%

“…2 Accurately capturing clinical diagnoses seen by trainees is important but difficult, as granular billing codes may be too specific to quantify clinical experience. 1 In addition, relying on residents themselves to input diagnostic clusters 3 imposes additional documentation burdens, and may not provide accurate data.…”

Section: Introductionmentioning

confidence: 99%

Using the Electronic Health Record to Identify Educational Gaps for Internal Medicine Interns

Rajkomar

Ranji

Sharpe

2017

Journal of Graduate Medical Education

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“…[9][10][11][12] Women's health issues have been shown to be among the most common chief complaints in resident continuity clinics. 13 Yet data show that residents have poor adherence to guidelines for screening mammography (at a time when guidelines did not conflict) 14 and lack proficiency in the clinical breast examination. 15 Internal medicine attending physicians and residents rarely use the Gail score to assess breast cancer risk and rarely discuss breast cancer chemoprevention with eligible patients.…”

Section: Introductionmentioning

confidence: 99%

An Effective Multimodal Curriculum to Teach Internal Medicine Residents Evidence-Based Breast Health

Corbelli¹,

Bonnema²,

Rubio³

et al. 2014

Journal of Graduate Medical Education

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Background Breast health is an area fraught with controversy and missed opportunities to meet women's needs, and the state of internal medicine residency training in this area is inadequate. Objective Our objective was to develop, implement, and evaluate a curriculum to equip internal medicine residents with the knowledge and skills to deliver high-quality, comprehensive breast health care. Methods We developed a 4-hour curriculum for internal medicine interns. It incorporated a team-based learning format and used MammaCare breast model software to teach and evaluate the clinical breast examination. We compared interns' precurriculum and postcurriculum test results to a historical comparison group of postgraduate year (PGY)–2 interns who did not complete the curriculum. We retested interns as PGY-2s to assess knowledge retention. Results A total 41 of 52 interns (79%) completed the curriculum. Their average MammaCare scores improved from 63% to 91%. Scores on a knowledge-based assessment improved from 47% on the pretest to 85% on the posttest (P < .001). Comparison PGY-2s who did not complete the curriculum averaged a score of 52% (P < .001). When retested 9 months after exposure to the curriculum, participants' mean score was 63% (compared to historical comparison PGY-2 group, P < .001). Only 9% of interns who retook the test as PGY-2s reported having received any breast health training subsequent to curriculum completion. Conclusions A targeted half-day, low-cost breast health curriculum significantly improved knowledge and skills in multiple domains, and these improvements were retained in subsequent assessment despite minimal reinforcement in residency training.

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Use of an Electronic Medical Record to Profile the Continuity Clinic Experiences of Primary Care Residents

Abstract: Abstracting data from an EMR represents a feasible method for assessing programmatic and individual learner experiences in the outpatient setting. Such information may help target curricular adjustments to ensure an appropriate diversity and depth of clinical training.

Cited by 33 publications

References 5 publications

Examining the adoption of electronic health records and personal digital assistants by family physicians in Florida

Examining the adoption of electronic health records and personal digital assistants by family physicians in Florida

Using the Electronic Health Record to Identify Educational Gaps for Internal Medicine Interns

An Effective Multimodal Curriculum to Teach Internal Medicine Residents Evidence-Based Breast Health

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