The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction

Introduction The ability to utilize the electronic health record (EHR) without compromising the doctor-patient relationship (DPR) is an essential skill of all physicians and trainees, yet little time is spent on educating or assessing learners on needed techniques. To address this gap, we developed...

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Autores principales:	E. Shen, Joseph Anthony Cristiano, Leslie Renee Ellis
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Electronic Health Record Objective Structured Clinical Examination Doctor-Patient Relationship Clinical Reasoning Standardized Patient Communication Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/fec5371e5c204d498d0453ba9781a213
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spelling	oai:doaj.org-article:fec5371e5c204d498d0453ba9781a2132021-11-19T14:52:47ZThe Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction10.15766/mep_2374-8265.109982374-8265https://doaj.org/article/fec5371e5c204d498d0453ba9781a2132020-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10998https://doaj.org/toc/2374-8265Introduction The ability to utilize the electronic health record (EHR) without compromising the doctor-patient relationship (DPR) is an essential skill of all physicians and trainees, yet little time is spent on educating or assessing learners on needed techniques. To address this gap, we developed a conventional OSCE station coupled with a simulated patient chart within the Epic program in order to assess our students' skills utilizing the EHR during a patient encounter. Methods Of third-year medical students, 119 were given full access to the patient's simulated chart 24 hours in advance of their OSCE to review clinical data. During an in-person OSCE with a standardized patient (SP), students performed a focused history and physical, using the EHR to verify allergies and medications. Students completed an electronic patient note graded by faculty. SPs evaluated the students on communication and interpersonal skills with specific rubric elements. Faculty graded the students' notes to evaluate their expression of clinical reasoning in the assessment and plan. Results Training SPs and faculty to assess students on EHR skills was feasible. After implementation of a comprehensive curriculum focused on EHR and DPR, there was a significant difference on EHR-related communication skills (M = 76.4, SD = 17.6) versus (M = 37, SD = 28.9) before curriculum enhancement t (117.9) = −12.4, p <.001. Discussion The EHR OSCE station provided a standardized method of assessing students' EHR skills during a patient encounter. Challenges still exist in the technological requirements to develop and deliver cases in today's EHR platform.E. ShenJoseph Anthony CristianoLeslie Renee EllisAssociation of American Medical CollegesarticleElectronic Health RecordObjective Structured Clinical ExaminationDoctor-Patient RelationshipClinical ReasoningStandardized PatientCommunicationMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Electronic Health Record Objective Structured Clinical Examination Doctor-Patient Relationship Clinical Reasoning Standardized Patient Communication Medicine (General) R5-920 Education L
spellingShingle	Electronic Health Record Objective Structured Clinical Examination Doctor-Patient Relationship Clinical Reasoning Standardized Patient Communication Medicine (General) R5-920 Education L E. Shen Joseph Anthony Cristiano Leslie Renee Ellis The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction
description	Introduction The ability to utilize the electronic health record (EHR) without compromising the doctor-patient relationship (DPR) is an essential skill of all physicians and trainees, yet little time is spent on educating or assessing learners on needed techniques. To address this gap, we developed a conventional OSCE station coupled with a simulated patient chart within the Epic program in order to assess our students' skills utilizing the EHR during a patient encounter. Methods Of third-year medical students, 119 were given full access to the patient's simulated chart 24 hours in advance of their OSCE to review clinical data. During an in-person OSCE with a standardized patient (SP), students performed a focused history and physical, using the EHR to verify allergies and medications. Students completed an electronic patient note graded by faculty. SPs evaluated the students on communication and interpersonal skills with specific rubric elements. Faculty graded the students' notes to evaluate their expression of clinical reasoning in the assessment and plan. Results Training SPs and faculty to assess students on EHR skills was feasible. After implementation of a comprehensive curriculum focused on EHR and DPR, there was a significant difference on EHR-related communication skills (M = 76.4, SD = 17.6) versus (M = 37, SD = 28.9) before curriculum enhancement t (117.9) = −12.4, p <.001. Discussion The EHR OSCE station provided a standardized method of assessing students' EHR skills during a patient encounter. Challenges still exist in the technological requirements to develop and deliver cases in today's EHR platform.
format	article
author	E. Shen Joseph Anthony Cristiano Leslie Renee Ellis
author_facet	E. Shen Joseph Anthony Cristiano Leslie Renee Ellis
author_sort	E. Shen
title	The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction
title_short	The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction
title_full	The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction
title_fullStr	The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction
title_full_unstemmed	The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction
title_sort	electronic health record objective structured clinical examination station: assessing student competency in patient notes and patient interaction
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/fec5371e5c204d498d0453ba9781a213
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The Electronic Health Record Objective Structured Clinical Examination Station: Assessing Student Competency in Patient Notes and Patient Interaction

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