Electronic Health Record Use in Internal Medicine Clerkships and Sub-internships for Medical Students Graduating from 2012 to 2016.

Authors:
Paul M Wallach
Paul M Wallach
University of South Florida
United States
Lauren M Foster
Lauren M Foster
Michigan State University
United States
Monica M Cuddy
Monica M Cuddy
Villanova University
United States
Maya M Hammoud
Maya M Hammoud
University of Michigan Medical School
United States
Kathleen Z Holtzman
Kathleen Z Holtzman
University of Michigan Medical School
United States
David B Swanson
David B Swanson
University of Michigan Medical School
United States

J Gen Intern Med 2019 May;34(5):705-711

American Board of Medical Specialties, Chicago, IL, USA.

Background: As electronic health records (EHRs) became broadly available in medical practice, effective use of EHRs by medical students emerged as an essential aspect of medical education. While new federal clinical documentation guidelines have the potential to encourage greater medical student EHR use and enhance student learning experiences with respect to EHRs, little is known nationally about how students have engaged with EHRs in the past.

Objective: This study examines medical student accounts of EHR use during their internal medicine (IM) clerkships and sub-internships during a 5-year time period prior to the new clinical documentation guidelines.

Design: An online survey about EHR use was administered to medical students immediately after they completed USMLE Step 2 CK.

Participants: The sample included 16,602 medical students planning to graduate from US medical schools from 2012 to 2016.

Main Measures: Descriptive statistics were computed to determine the average percentage of students engaged in various health record activities during their IM educational experiences by graduation year.

Key Results: The vast majority (99%) of medical students used EHRs during IM clerkships or sub-internships. Most students reported that they entered information into EHRs during the inpatient component of the IM clerkship (84%), outpatient component of the IM clerkship (70%), and the IM sub-internship (92%). Yet, 43% of the students who graduated in 2016 never entered admission orders and 35% of them never entered post-admission orders.

Conclusions: Medical school graduates ought to be able to effectively document clinical encounters and enter orders into EHR systems. Although most students used and entered information into EHRs during their IM clinical training, many students appear to have received inadequate opportunities to enter notes or orders, in particular. Implications for graduate medical education preparedness are considered. Future research should address similar questions using comparable national data collected after the recent guideline changes.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11606-019-04902-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502929PMC
May 2019

Publication Analysis

Top Keywords

medical students
20
clerkships sub-internships
12
medical
12
students
11
medicine clerkships
8
component clerkship
8
students engaged
8
entered ehrs
8
internal medicine
8
clinical documentation
8
electronic health
8
health record
8
medical student
8
medical education
8
graduate medical
8
ehrs
7
measures descriptive
4
students entered
4
descriptive statistics
4
systems students
4

References

(Supplied by CrossRef)
Article in Teach Learn Med.
MM Hammoud et al.
Teach Learn Med. 2012
Article in J Grad Med Educ.
W Iobst et al.
J Grad Med Educ. 2013
Article in Acad Med.
DV Power et al.
Acad Med. 2018
Article in Ann Intern Med.
C Sinsky et al.
Ann Intern Med. 2016
Article in J Grad Med Educ.
D Alromaihi et al.
J Grad Med Educ. 2011
Article in Arch Intern Med.
AS Oxentenko et al.
Arch Intern Med. 2010
Article in Acad Med.
M Mintz et al.
Acad Med. 2009
Article in Am J Med.
J Chi et al.
Am J Med. 2014
Article in J Grad Med Educ
RE Pearlman et al.
J Grad Med Educ 2017
Article in J Grad Med Educ.
L Chen et al.
J Grad Med Educ. 2016

Similar Publications