Literature DB >> 36035531

Writing Is Thinking: Implementation and Evaluation of an Internal Medicine Residency Clinical Reasoning and Documentation Curriculum.

Karl M Richardson1, Joseph A Cristiano1, Katherine R Schafer1, E Shen1, Cynthia A Burns1.   

Abstract

With increasingly complicated patients and faster throughput, time for thorough critical thinking and thoughtful clinical documentation is limited, especially in the training environment. Advocating for the value of clinical documentation as a robust opportunity for critical thinking, we describe the implementation and evaluation of a clinical reasoning and documentation curriculum for internal medicine residents. Our curriculum employed facilitated discussion, practical application, and a resident-as-teacher model. Resident surveys showed improved perceptions of the clinical and educational value of clinical documentation. Residents reported increased feedback to interns about their documentation and more appreciation of documentation as a venue for critical thinking. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-022-01570-5.
© The Author(s) under exclusive licence to International Association of Medical Science Educators 2022.

Entities:  

Keywords:  Clinical reasoning; Critical thinking; Documentation; EHR stewardship; Medical education

Year:  2022        PMID: 36035531      PMCID: PMC9411408          DOI: 10.1007/s40670-022-01570-5

Source DB:  PubMed          Journal:  Med Sci Educ        ISSN: 2156-8650


  11 in total

1.  Learning to improve: using writing to increase critical thinking performance in general education biology.

Authors:  Ian J Quitadamo; Martha J Kurtz
Journal:  CBE Life Sci Educ       Date:  2007       Impact factor: 3.325

2.  Copy and paste: a remediable hazard of electronic health records.

Authors:  Eugenia L Siegler; Ronald Adelman
Journal:  Am J Med       Date:  2009-06       Impact factor: 4.965

Review 3.  Impact of electronic health record systems on information integrity: quality and safety implications.

Authors:  Sue Bowman
Journal:  Perspect Health Inf Manag       Date:  2013-10-01

4.  Clinical Documentation in Electronic Health Record Systems: Analysis of Similarity in Progress Notes from Consecutive Outpatient Ophthalmology Encounters.

Authors:  Abigail E Huang; Michelle R Hribar; Isaac H Goldstein; Brad Henriksen; Wei-Chun Lin; Michael F Chiang
Journal:  AMIA Annu Symp Proc       Date:  2018-12-05

5.  Understanding the cognitive processes involved in writing to learn.

Authors:  Kathleen M Arnold; Sharda Umanath; Kara Thio; Walter B Reilly; Mark A McDaniel; Elizabeth J Marsh
Journal:  J Exp Psychol Appl       Date:  2017-04-27

6.  Restoring the Story and Creating a Valuable Clinical Note.

Authors:  Heather E Gantzer; Brian L Block; Lacy C Hobgood; Janice Tufte
Journal:  Ann Intern Med       Date:  2020-07-14       Impact factor: 25.391

7.  Promoting Responsible Electronic Documentation: Validity Evidence for a Checklist to Assess Progress Notes in the Electronic Health Record.

Authors:  Jennifer A Bierman; Kathryn Kinner Hufmeyer; David T Liss; A Charlotta Weaver; Heather L Heiman
Journal:  Teach Learn Med       Date:  2017-05-12       Impact factor: 2.414

8.  Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.

Authors:  Sílvia Mamede; Tamara van Gog; Kees van den Berge; Remy M J P Rikers; Jan L C M van Saase; Coen van Guldener; Henk G Schmidt
Journal:  JAMA       Date:  2010-09-15       Impact factor: 56.272

9.  Effects of reflective practice on the accuracy of medical diagnoses.

Authors:  Silvia Mamede; Henk G Schmidt; Júlio César Penaforte
Journal:  Med Educ       Date:  2008-05       Impact factor: 6.251

10.  Assessing Electronic Note Quality Using the Physician Documentation Quality Instrument (PDQI-9).

Authors:  Peter D Stetson; Suzanne Bakken; Jesse O Wrenn; Eugenia L Siegler
Journal:  Appl Clin Inform       Date:  2012       Impact factor: 2.342

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