Literature DB >> 29618959

Proficiency of First-Year Podiatric Medical Residents in the Use of Electronic Medical Records.

Rebecca Meehan1, Jill Kawalec2, Bryan Caldwell2, David Putman2.   

Abstract

Objectives: The aim of this study was to survey podiatric residency directors to evaluate the proficiency of first-year podiatric medical residents in the use of electronic medical records and its potential impact on medical care.
Methods: An online survey consisting of Likert-scale, multiple-choice, and open-ended questions was sent via email to 216 podiatric residency directors. Questions were directed toward the level of proficiency in electronic medical records expected at the beginning of residency training and the impact on patient care of residents' inexperience with electronic medical records.
Results: A total of 54 of the 216 podiatric medical residency directors completed the survey. Results indicated that 70.3 percent of respondent directors expected a moderate level of proficiency in the use of electronic medical records; however, 35.2 percent indicated that less than 50 percent of the new residents had experience with electronic medical records prior to starting residency training. Only 51.5 percent of respondent directors felt that the new residents were successful or highly successful in using their hospital's electronic medical record upon arrival, but that figure increased to 98.2 percent upon completion of the first year of residency. Of importance, 29.7 percent of respondent directors reported that inexperience in electronic medical record use resulted in a more-than-average to high impact on patient care, with open-ended responses including concerns about potential HIPAA violations, data breaches, or lost data.
Conclusion: Residency directors deem it important that incoming first-year residents have a basic understanding of electronic medical records and related health informatics concepts; however, in-depth knowledge is not expected because of the high number of software programs available. Nonetheless, nearly one-third of respondents reported that inexperience in electronic medical record use does have a significant impact on patient care.

Entities:  

Keywords:  PGY1 resident; electronic medical record; informatics; medical education; quality patient care

Mesh:

Year:  2018        PMID: 29618959      PMCID: PMC5869440     

Source DB:  PubMed          Journal:  Perspect Health Inf Manag        ISSN: 1559-4122


  16 in total

Review 1.  Electronic medical records and their impact on resident and medical student education.

Authors:  Craig R Keenan; Hien H Nguyen; Malathi Srinivasan
Journal:  Acad Psychiatry       Date:  2006 Nov-Dec

Review 2.  Technology, governance and patient safety: systems issues in technology and patient safety.

Authors:  Ellen Balka; Madeleine Doyle-Waters; Dorota Lecznarowicz; J Mark FitzGerald
Journal:  Int J Med Inform       Date:  2006-09-25       Impact factor: 4.046

3.  Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process.

Authors:  Habibollah Pirnejad; Zahra Niazkhani; Heleen van der Sijs; Marc Berg; Roland Bal
Journal:  Int J Med Inform       Date:  2008-06-02       Impact factor: 4.046

4.  Establishing electronic health record competency testing for first-year residents.

Authors:  Jim Nuovo; David Hutchinson; Thomas Balsbaugh; Craig Keenan
Journal:  J Grad Med Educ       Date:  2013-12

5.  Electronic health record training in undergraduate medical education: bridging theory to practice with curricula for empowering patient- and relationship-centered care in the computerized setting.

Authors:  Hedy S Wald; Paul George; Shmuel P Reis; Julie Scott Taylor
Journal:  Acad Med       Date:  2014-03       Impact factor: 6.893

6.  Medical students' observations, practices, and attitudes regarding electronic health record documentation.

Authors:  Heather L Heiman; Sonya Rasminsky; Jennifer A Bierman; Daniel B Evans; Kathryn G Kinner; Julie Stamos; Zoran Martinovich; William C McGaghie
Journal:  Teach Learn Med       Date:  2014       Impact factor: 2.414

7.  Exploring the sociotechnical intersection of patient safety and electronic health record implementation.

Authors:  Derek W Meeks; Amirhossein Takian; Dean F Sittig; Hardeep Singh; Nick Barber
Journal:  J Am Med Inform Assoc       Date:  2013-09-19       Impact factor: 4.497

8.  Role of computerized physician order entry systems in facilitating medication errors.

Authors:  Ross Koppel; Joshua P Metlay; Abigail Cohen; Brian Abaluck; A Russell Localio; Stephen E Kimmel; Brian L Strom
Journal:  JAMA       Date:  2005-03-09       Impact factor: 56.272

9.  Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.

Authors:  Blackford Middleton; Meryl Bloomrosen; Mark A Dente; Bill Hashmat; Ross Koppel; J Marc Overhage; Thomas H Payne; S Trent Rosenbloom; Charlotte Weaver; Jiajie Zhang
Journal:  J Am Med Inform Assoc       Date:  2013-01-25       Impact factor: 4.497

10.  Electronic health records in outpatient clinics: perspectives of third year medical students.

Authors:  Emran Rouf; Heidi S Chumley; Alison E Dobbie
Journal:  BMC Med Educ       Date:  2008-03-31       Impact factor: 2.463

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