Main Presenter: Margaret Wilson, D.O. Additional Presenter: Patricia Sexton, D.H.Ed.

Main Presenter: Margaret Wilson, D.O. Additional Presenter: Patricia Sexton, D.H.Ed.

The utilization of the electronic health record in clinical practice is at the national forefront and governmental programs are being put into place to facilitate this movement. Medical education must rise to the challenge of preparing students to learn skills they will need to effectively utilize EHR s in their clinical practices. A five-year curriculum is under development which educates and trains predoctoral students in the understanding and use of EHR. This innovative educational design will emphasize communication skills, quality improvement, clinical discussion support systems, chronic disease management, preventive care and physician productivity through the use of the electronic health record.

To infuse pertinent early EHR activities into a traditional predoctoral curriculum To infuse EHR activities into early hands-on clinical experiences To focus on patient-centered communication skills in the use of EHR To provide hands-on training in communication skills, keyboard training, medical documentation and clinical decision support and preventive services To develop proficiency in creating a SOAP note, ordering diagnostics, writing prescriptions and reviewing test results in an EHR system

Lecture: In-class didactic presentation on the history of EMR/EHR implementation, advantages, challenges and meaningful use requirements Role-play scenarios: In-class demonstrations of the utilization of EHR during a patient encounter using role-play cases to focus on communication skills Hands-on exercise: In-class EHR exercises for students to practice data entry using a patient case to create a chart note Assigned cases: Assigned EHR patient cases to practice data entry and develop keyboard proficiency at documentation of a medical encounter. (Patient cases correlate to the region being covered at the time in the physical exam skills).

House Call Program: Development of a longitudinal EHR on assigned House Call patients by entering information gathered at each visit. Learning Modules: Development of additional case modules utilizing BlackBoard that focus on communication skills, selection and use of an EHR system and interprofessional use. DXR Clinician Cases: Implementation of EHR tasks into DXR clinician cases. Standardized Patient Encounters: Addition of EHR cases into standardized patient encounter activities.

Clinical Practice Exams (CPXs) EHR in a patient encounter emphasizing communication skills will be added to testing in Years 1-3 EHR in appropriately entering data and creating a medical document will be assessed in testing Years 1-3 EHR case modules and exercises for Family Medicine core rotations focusing on communication skills, computer use, negotiation/selection of EHR systems and interprofessional use of EHR

Document in EHR age specific preventive services Document in EHR immunization status Document in EHR patient education Identify in EHR system patient education tools

" EMR in medical school is crucial to make ourselves better prepared for clinical rotations. Earlier exposure to EMR allows us to be more comfortable not only using the program but also being with patients; one less thing to worry about, and can be more focused on the patient care!" "I think the integration of EMR is a valuable resource. Becoming familiar with how EMR works (and sometimes doesn t work) will further enhance our skills as we progress through rotations and then into residency. With basic knowledge of EMR, we won t have to worry about figuring out how to work EMR and treating a patient, but rather treating a patient with the help of EMR. The opportunity to use EMR is exciting because we are getting one step closer to becoming practicing physicians."

EXCITING Projected funded in part by the HRSA Pre-Doctoral Training in Primary Care Grant Award number D56HP20689, Dr. Margaret Wilson, Project Director