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Updated: Jul 13, 2025

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Electronic Health Record Usage Patterns Across Surgical Subspecialties.

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Female surgeons and those with less experience face higher electronic health record (EHR) burdens. Physician action logs reveal disparities in EHR efficiency and workload, potentially indicating burnout risk.

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Area of Science:

  • Medical Informatics
  • Surgical Outcomes
  • Physician Workflow Analysis

Background:

  • Electronic Health Records (EHR) are integral to modern healthcare, impacting physician workload and efficiency.
  • Understanding how physician characteristics influence EHR use is crucial for optimizing clinical practice and preventing burnout.

Purpose of the Study:

  • To analyze surgeon clinical, volume, EHR efficiency, EHR proficiency, and workload outside scheduled time.
  • To determine the impact of physician characteristics like experience and gender on these EHR metrics.

Main Methods:

  • Utilized 30 metrics from Epic Signal, an EHR analytic tool, to assess volume, efficiency, proficiency, and documentation burden.
  • Analyzed EHR metrics across 133 surgeons over 4 months, correlating them with physician characteristics.

Main Results:

  • Female surgeons exhibited higher time per day, time per appointment, and documentation burden, with lower efficiency compared to male surgeons.
  • Surgeons with 0-5 years of experience showed lower volume, efficiency, and proficiency compared to more experienced colleagues.
  • Female gender and longer experience (over 10 years) were independent predictors of specific EHR usage patterns and workload.

Conclusions:

  • EHR-related workload varies significantly by surgeon gender and years of experience.
  • Physician action log analysis can identify surgeons at higher risk of burnout due to documentation burden.