An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM

Introduction This module introduces learners to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD–10-CM) coding system and its relevance to patient care, billing, and public health. Knowledge of this coding system is critical for residents about to enter indepe...

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Autores principales:	Elizabeth Leilani Lee, Alia Chisty, Paul Williams, William Brady
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2017
Materias:	Documentation Electronic Health Records ICD–10 International Classification of Diseases Ambulatory Education Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/e4cae16fb27541b4ad7855b0c62110ae
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spelling	oai:doaj.org-article:e4cae16fb27541b4ad7855b0c62110ae2021-12-03T14:14:50ZAn Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM10.15766/mep_2374-8265.105382374-8265https://doaj.org/article/e4cae16fb27541b4ad7855b0c62110ae2017-02-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10538https://doaj.org/toc/2374-8265Introduction This module introduces learners to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD–10-CM) coding system and its relevance to patient care, billing, and public health. Knowledge of this coding system is critical for residents about to enter independent practice. Methods This case was developed for internal medicine residents at all levels of training and was delivered in three 50-minute sessions. Associated materials include a test given before and after the module, the answer key to that test, the clinical case and associated learning objectives, a faculty guide, and an evaluation form. This module features a simulated patient encounter in an electronic health record, the details of which are given in the faculty guide. Results Eighty-eight percent of learners reported that they found this exercise useful, and there was a significant improvement in posttest scores after completion. Ninety-four percent of learners reported a commitment to using appropriate ICD–10-CM codes in their own practice after completion of the exercise. Discussion This effective module has been integrated into our ambulatory curriculum. Knowledge of ICD–10-CM coding allows physicians to document specifically and appropriately as they move forward in their practice.Elizabeth Leilani LeeAlia ChistyPaul WilliamsWilliam BradyAssociation of American Medical CollegesarticleDocumentationElectronic Health RecordsICD–10International Classification of DiseasesAmbulatory EducationMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 13 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Documentation Electronic Health Records ICD–10 International Classification of Diseases Ambulatory Education Medicine (General) R5-920 Education L
spellingShingle	Documentation Electronic Health Records ICD–10 International Classification of Diseases Ambulatory Education Medicine (General) R5-920 Education L Elizabeth Leilani Lee Alia Chisty Paul Williams William Brady An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM
description	Introduction This module introduces learners to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD–10-CM) coding system and its relevance to patient care, billing, and public health. Knowledge of this coding system is critical for residents about to enter independent practice. Methods This case was developed for internal medicine residents at all levels of training and was delivered in three 50-minute sessions. Associated materials include a test given before and after the module, the answer key to that test, the clinical case and associated learning objectives, a faculty guide, and an evaluation form. This module features a simulated patient encounter in an electronic health record, the details of which are given in the faculty guide. Results Eighty-eight percent of learners reported that they found this exercise useful, and there was a significant improvement in posttest scores after completion. Ninety-four percent of learners reported a commitment to using appropriate ICD–10-CM codes in their own practice after completion of the exercise. Discussion This effective module has been integrated into our ambulatory curriculum. Knowledge of ICD–10-CM coding allows physicians to document specifically and appropriately as they move forward in their practice.
format	article
author	Elizabeth Leilani Lee Alia Chisty Paul Williams William Brady
author_facet	Elizabeth Leilani Lee Alia Chisty Paul Williams William Brady
author_sort	Elizabeth Leilani Lee
title	An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM
title_short	An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM
title_full	An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM
title_fullStr	An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM
title_full_unstemmed	An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM
title_sort	innovative curriculum using a simulated electronic health record to teach internal medicine residents about icd–10-cm
publisher	Association of American Medical Colleges
publishDate	2017
url	https://doaj.org/article/e4cae16fb27541b4ad7855b0c62110ae
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An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM

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