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Improving Student Confidence With Electronic Health Record Order Entry.

Arindam Sarkar1, Anjali Aggarwal1, Larissa Grigoryan1

  • 1Baylor College of Medicine, Department of Family and Community Medicine, Houston, TX.

Primer (Leawood, Kan.)
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Summary

Medical students gained significant confidence and accuracy in using electronic health records (EHRs) through a targeted curriculum. This pilot study highlights the value of hands-on EHR training for enhancing medical education and clinical reasoning skills.

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Area of Science:

  • Medical Education
  • Health Informatics

Background:

  • Electronic health records (EHRs) are widely used by physicians, yet medical students have limited practical experience with EHR order entry during ambulatory training.
  • This study addresses the gap in practical EHR training for medical students in real-world clinical settings.

Purpose of the Study:

  • To evaluate the effectiveness of a targeted curriculum in enhancing medical students' confidence and skills in using EHR systems.
  • To assess the impact of hands-on EHR order entry on students' clinical reasoning abilities.

Main Methods:

  • A prospective, survey-based study involving family medicine clerkship students at a community health center.
  • Students participated in a 4-week clerkship with structured EHR training, including observation, order entry, and preceptor feedback.
  • Weekly questionnaires measured student confidence in EHR domains, while preceptors assessed order accuracy.

Main Results:

  • All 49 participating students reported EHR order entry as beneficial to their medical education.
  • Statistically significant improvements in student confidence were observed across all EHR domains, including prescriptions and lab/imaging orders.
  • Preceptor evaluations demonstrated significant week-over-week improvement in students' accuracy of EHR order placement.

Conclusions:

  • A targeted curriculum delivered by committed faculty at an individual preceptor site can effectively improve medical students' EHR confidence.
  • This pilot study suggests that such focused training can maximize clerkship education, despite challenges in widespread EHR training across multiple sites and products.
  • Individual preceptor sites are encouraged to implement similar opportunities for students to enhance their EHR proficiency.