Pamela Duke1, Richard M Frankel, Shmuel Reis. 1. a Department of Medicine, Division of General Internal Medicine , Drexel University College of Medicine , Philadelphia , Pennsylvania , USA.
Abstract
BACKGROUND: Implementation of the electronic health record (EHR) has changed the dynamics of doctor-patient communication. Physicians train to use EHRs from a technical standpoint, giving only minimal attention to integrating the human dimensions of the doctor-patient relationship into the computer-accompanied medical visit. DESCRIPTION: This article reviews the literature and proposes a model to help clinicians, residents, and students improve physician-patient communication while using the EHR. EVALUATION: We conducted a literature search on use of communication skills when interfacing with the EHR. We observed an instructional gap and developed a model using evidence-based communication skills. CONCLUSION: This model integrates patient-centered interview skills and aims to empower physicians to remain patient centered while effectively using EHRs. It may also serve as a template for future educational and practice interventions for use of the EHR in the examination room.
BACKGROUND: Implementation of the electronic health record (EHR) has changed the dynamics of doctor-patient communication. Physicians train to use EHRs from a technical standpoint, giving only minimal attention to integrating the human dimensions of the doctor-patient relationship into the computer-accompanied medical visit. DESCRIPTION: This article reviews the literature and proposes a model to help clinicians, residents, and students improve physician-patient communication while using the EHR. EVALUATION: We conducted a literature search on use of communication skills when interfacing with the EHR. We observed an instructional gap and developed a model using evidence-based communication skills. CONCLUSION: This model integrates patient-centered interview skills and aims to empower physicians to remain patient centered while effectively using EHRs. It may also serve as a template for future educational and practice interventions for use of the EHR in the examination room.
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