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Developing an educational reminder system for a handheld encounter log.

Walton Sumner1, John Campbell, Sarah C Irving

  • 1Washington University, School of Medicine, St Louis, MO 63119, USA. wsumner@im.wustl.edu

Family Medicine
|November 1, 2006
PubMed
Summary
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Electronic student encounter logs (ESEL) enable medical students to document patient encounters. While grading ESEL improved documentation of key issues, automated reminders were not closely reviewed by students.

Area of Science:

  • Medical Education Technology
  • Clinical Informatics
  • Family Medicine Training

Background:

  • Medical students utilize handheld computers for logging patient encounters.
  • Bedside data capture can enhance medical education with automated reminders.
  • Evaluating the efficacy of electronic logging systems in medical training.

Purpose of the Study:

  • To assess the progress of electronic student encounter logs (ESEL) in complementing medical education.
  • To evaluate the impact of a pilot reminder system within ESEL.
  • To determine the effectiveness of grading criteria on documentation quality.

Main Methods:

  • Development of electronic student encounter logs (ESEL) with a hierarchical diagnosis structure.
  • Longitudinal evaluation of third-year clerks' ESEL records across family medicine clerkships.

Related Experiment Videos

  • Implementation and monitoring of a pilot reminder system in ESEL-4.

    • Main Results:

    • Students effectively documented complex patients using ESEL-4, primarily during office hours.
    • ESEL grading led to increased and plausible documentation of tobacco abuse, depression, and alcohol abuse.
    • Students viewed reminder titles (25%) but rarely reviewed reminder details (<1%).

    Conclusions:

    • ESEL-4 facilitates plausible documentation of complex patients by medical students.
    • Grading criteria appear to enhance the completeness and accuracy of student documentation.
    • While diagnosis-driven educational reminders are feasible, student engagement with them remains low.