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Published on: August 1, 2019
Ambulatory physicians' electronic health record self-efficacy.
1Department of Pediatrics, University of Virginia, Charlottesville, Virginia, USA.
Most ambulatory providers believe electronic health record (EHR) skills can be mastered with practice and training. This suggests physician engagement with EHR training programs focusing on clinical skill development.
Area of Science:
- Health Informatics
- Medical Education
Background:
- Electronic Health Records (EHR) are integral to modern healthcare delivery.
- Assessing provider confidence and skill acquisition in EHR use is crucial for effective implementation.
- Previous assessments have not fully explored the perception of EHRs as a learnable clinical skill.
Purpose of the Study:
- To evaluate ambulatory providers' self-assessed confidence in their electronic health record (EHR) skills.
- To determine providers' perceived ability to learn and improve EHR proficiency.
- To inform the development of targeted EHR training programs.
Main Methods:
- A self-assessment survey was administered to ambulatory providers.
- The survey measured confidence in learning, using, and improving EHR skills.
- Participant confidence regarding time efficiency and keeping up with EHR advances was assessed.
Main Results:
- Only 35% of providers reported strong EHR skills.
- A high percentage (92%) felt confident in their ability to learn new skills and (90%) to improve with practice.
- Faculty physicians showed mixed confidence in time efficiency (45%) and keeping up with advances (52%), with 16% expressing apprehension.
Conclusions:
- Most providers view EHR proficiency as a learnable clinical skill.
- Physicians are receptive to EHR training that emphasizes skill mastery through practice.
- Findings support the development of institution-specific EHR training informed by provider self-perceptions.
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Here's a breakdown of how health records serve these purposes:
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:

