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Assessing Physician Assistant Student Electronic Health Record Competency Using an Objective Structured Clinical
Emily Jacobsen1,2,3,4, Sarah Drummond1,2,3,4, Frances Emily Biagioli1,2,3,4
1Emily Jacobsen, PA-C, is an assistant professor in the Division of Physician Assistant Education at Oregon Health & Science University, School of Medicine, Portland, Oregon.
Physician assistant (PA) students showed good electronic health record (EHR) communication skills but lacked proficiency in patient identification and EHR data management. Objective Structured Clinical Examinations (OSCEs) can identify curriculum gaps for improving these essential EHR skills.
Area of Science:
- Medical Education
- Health Informatics
- Physician Assistant Studies
Background:
- Effective use of Electronic Health Records (EHRs) is crucial for modern healthcare delivery.
- Physician Assistant (PA) training must encompass proficiency in EHR communication and data management.
- Assessing student competency in EHR use is vital for ensuring quality patient care.
Purpose of the Study:
- To evaluate the competency of didactic year PA students in EHR communication and data management.
- To identify specific areas of strength and weakness in student EHR skills.
- To inform curricular adjustments for enhancing PA student EHR proficiency.
Main Methods:
- An Objective Structured Clinical Examination (OSCE) was employed as the primary assessment tool.
- The OSCE simulated clinical scenarios requiring EHR interaction.
- Student performance was evaluated based on communication and data management within the EHR system.
Main Results:
- The majority of PA students exhibited adequate overall EHR communication skills.
- Few students consistently performed patient identification verification or optimized computer positioning for patient-centered communication.
- A notable number of students demonstrated limited proficiency in reviewing patient history and medication data within the EHR.
Conclusions:
- OSCEs are effective tools for assessing EHR competency in PA students.
- Findings indicate a need for targeted curricular improvements in EHR data management and patient-centered communication.
- Enhancing EHR skills through focused education will better prepare PA graduates for clinical practice.
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