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Using Real Electronic Health Records in Undergraduate Education: Roundtable Discussion.

Fatima Nadeem1, Jessica Azmy1, Asieh Yousefnejad Shomali1

  • 1Faculty of Biology, Medicine and Health, University of Manchester, Oxford Road, Manchester, M139PL, United Kingdom, 44 01613066000.

JMIR Formative Research
|June 13, 2025
PubMed
Summary
This summary is machine-generated.

Using real patient records in health care education enhances electronic health record (EHR) training for students. This approach addresses limitations of simulated data and prepares future professionals for complex clinical practice.

Keywords:
clinical competenceclinical practicedigital healthelectronic health recordshealth care educationhealth care professionalhealth informaticsinterdisciplinary educationmedical educationmedical records systemspatient recordsstudentundergraduate

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Area of Science:

  • Health Professions Education
  • Digital Health
  • Medical Informatics

Background:

  • Simulated electronic health records (EHRs) are used in healthcare education but lack real-world data complexity.
  • Routinely collected health data is used for research, not education, creating a gap in training.
  • Exploring perceptions, governance, and ethics for using real patient records in teaching.

Purpose of the Study:

  • To explore healthcare professionals' perspectives on using real patient records for interprofessional EHR education.
  • To identify challenges and benefits of integrating authentic patient data into undergraduate health curricula.

Main Methods:

  • Conducted 90-minute group discussions with 10 healthcare professionals across nursing, pharmacy, medicine, and allied health.
  • Utilized the GRIPP2 checklist for reporting Patient and Public Involvement and Engagement.

Main Results:

  • Consensus on the need to upskill students in EHR use and transferable skills.
  • Highlighted limitations in current teaching: accessibility, disparities, and curricular gaps.
  • Benefits of real EHRs: learning from data complexity, real-world timelines, and multidisciplinary interactions.
  • Concerns: clinician scrutiny, incidental findings; proposed informed consent from data donors.

Conclusions:

  • Innovative solutions are crucial for aligning healthcare education with digital clinical practice.
  • Real patient records offer optimal training for handling complex, real-world health data.
  • A robust framework with governance and consent is needed for using real health data in training.