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Physician Perspectives on Training for an EHR Implementation.

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Physicians experienced stress during an electronic health record (EHR) system transition. Training improvements are needed, focusing on realistic scenarios and better timing for optimal physician adoption.

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Area of Science:

  • Health Informatics
  • Medical Education
  • Physician Training

Background:

  • Academic medical centers face challenges during electronic health record (EHR) system implementations.
  • The "specialist training the specialist" model was adopted for a commercial EHR system transition in 2017.
  • Understanding physician training experiences and perceptions is crucial for successful EHR adoption.

Purpose of the Study:

  • To investigate the impact of a commercial EHR system switch on physicians.
  • To explore physician training experiences and perceived training quality before and after the Go-Live date.
  • To identify key themes influencing physician adaptation to a new EHR system.

Main Methods:

  • Semi-structured interviews were conducted with physicians across various training levels.
  • Grounded Theory methodology was employed to analyze qualitative interview data.
  • Physician perceptions of training quality and system impact were assessed pre- and post-Go-Live.

Main Results:

  • Emergent themes included significant physician stress and anxiety related to the EHR transition.
  • Physicians desired more realistic, specialty-specific training environments.
  • Concerns were raised regarding the time lag between training completion and system implementation.

Conclusions:

  • The "specialist training the specialist" model requires refinement to address physician-reported challenges.
  • Future EHR implementations should incorporate data-rich test patients and demonstrate real-world workflows.
  • Optimizing training realism and timing is essential for mitigating physician stress and improving EHR adoption.