Jung G Kim1, Hector P Rodriguez2, Katherine At Estlin3, Carl G Morris4. 1. Clinical Teaching Associate in the Department of Family Medicine at the University of Washington School of Medicine in Seattle. jung.g.kim@kp.org. 2. Co-Director for the Center of Healthcare Organizational Innovation Research and a Professor of Health Policy and Management at the University of California School of Public Health in Berkeley. hrod@berkeley.edu. 3. Physician at Open Door Community Health Centers in Arcata, CA. kestlin@gmail.com. 4. Program Director at Group Health Family Medicine Residency and a Clinical Associate Professor in the Department of Family Medicine at the University of Washington School of Medicine in Seattle. morris.cg@ghc.org.
Abstract
INTRODUCTION: Competence in using an electronic health record (EHR) is considered a critical skill for physicians practicing in patient-centered medical homes (PCMHs), but few studies have examined the impact of EHR training for residents preparing to practice in PCMHs. This study explored the educational outcomes associated with comprehensive EHR training for family medicine residents. METHODS: The PCMH EHR training consisted of case-based routine clinic visits delivered to 3 resident cohorts (N = 18). Participants completed an EHR competency self-assessment between 2011 and 2016 (N = 127), examining 6 EHR/PCMH core skills. We compared baseline characteristics for residents by low vs high exposure to EHR training. Multivariate regression estimated whether self-reported competencies improved over time and whether high PCMH EHR training exposure was associated with incremental improvement in self-reported competencies over time. RESULTS: Residents completed an average of 8.2 sessions: low-exposure residents averaged 5.3 sessions (standard deviation = 1.5), and high-exposure residents averaged 9.0 sessions (standard deviation = 0.9). High-exposed residents had higher posttest scores at training completion (84.4 vs 70.7). Over time, adjusted mean scores (confidence interval) for both groups improved (p < 0.001) from 12.2 (9.6-14.8), with low-exposed residents having greater score improvement (p < 0.001) because of their much lower baseline scores. CONCLUSION: Comprehensive training designed to improve EHR competencies among residents practicing in a PCMH resulted in improved assessment scores. Our findings indicate EHR training as part of resident exposure to the PCMH measurably improves self-assessed competencies, even among residents less engaged in EHR training.
INTRODUCTION: Competence in using an electronic health record (EHR) is considered a critical skill for physicians practicing in patient-centered medical homes (PCMHs), but few studies have examined the impact of EHR training for residents preparing to practice in PCMHs. This study explored the educational outcomes associated with comprehensive EHR training for family medicine residents. METHODS: The PCMH EHR training consisted of case-based routine clinic visits delivered to 3 resident cohorts (N = 18). Participants completed an EHR competency self-assessment between 2011 and 2016 (N = 127), examining 6 EHR/PCMH core skills. We compared baseline characteristics for residents by low vs high exposure to EHR training. Multivariate regression estimated whether self-reported competencies improved over time and whether high PCMH EHR training exposure was associated with incremental improvement in self-reported competencies over time. RESULTS: Residents completed an average of 8.2 sessions: low-exposure residents averaged 5.3 sessions (standard deviation = 1.5), and high-exposure residents averaged 9.0 sessions (standard deviation = 0.9). High-exposed residents had higher posttest scores at training completion (84.4 vs 70.7). Over time, adjusted mean scores (confidence interval) for both groups improved (p < 0.001) from 12.2 (9.6-14.8), with low-exposed residents having greater score improvement (p < 0.001) because of their much lower baseline scores. CONCLUSION: Comprehensive training designed to improve EHR competencies among residents practicing in a PCMH resulted in improved assessment scores. Our findings indicate EHR training as part of resident exposure to the PCMH measurably improves self-assessed competencies, even among residents less engaged in EHR training.
Authors: Michael J Tierney; Natalie M Pageler; Madelyn Kahana; Julie L Pantaleoni; Christopher A Longhurst Journal: Acad Med Date: 2013-06 Impact factor: 6.893
Authors: Robert J Reid; Katie Coleman; Eric A Johnson; Paul A Fishman; Clarissa Hsu; Michael P Soman; Claire E Trescott; Michael Erikson; Eric B Larson Journal: Health Aff (Millwood) Date: 2010-05 Impact factor: 6.301
Authors: John Hsu; Jie Huang; Vicki Fung; Nan Robertson; Holly Jimison; Richard Frankel Journal: J Am Med Inform Assoc Date: 2005-03-31 Impact factor: 4.497
Authors: Alison L Chetlen; Tiffany L Chan; David H Ballard; L Alexandre Frigini; Andrea Hildebrand; Shannon Kim; James M Brian; Elizabeth A Krupinski; Dhakshinamoorthy Ganeshan Journal: Acad Radiol Date: 2018-07-31 Impact factor: 3.173
Authors: Rachel Gold; Arwen Bunce; James V Davis; Joan C Nelson; Stuart Cowburn; Jee Oakley; Stacie Carney; Michael A Horberg; James W Dearing; Gerardo Melgar; Joanna E Bulkley; Janet Seabrook; Heath Cloutier Journal: ACI open Date: 2021-06-27