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An Innovative Curriculum Using a Simulated Electronic Health Record to Teach Internal Medicine Residents About ICD–10-CM

INTRODUCTION: This module introduces learners to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD–10-CM) coding system and its relevance to patient care, billing, and public health. Knowledge of this coding system is critical for residents about to enter indep...

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Detalles Bibliográficos
Autores principales: Lee, Elizabeth Leilani, Chisty, Alia, Williams, Paul, Brady, William
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association of American Medical Colleges 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342159/
https://www.ncbi.nlm.nih.gov/pubmed/30800740
http://dx.doi.org/10.15766/mep_2374-8265.10538
Descripción
Sumario:INTRODUCTION: This module introduces learners to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD–10-CM) coding system and its relevance to patient care, billing, and public health. Knowledge of this coding system is critical for residents about to enter independent practice. METHODS: This case was developed for internal medicine residents at all levels of training and was delivered in three 50-minute sessions. Associated materials include a test given before and after the module, the answer key to that test, the clinical case and associated learning objectives, a faculty guide, and an evaluation form. This module features a simulated patient encounter in an electronic health record, the details of which are given in the faculty guide. RESULTS: Eighty-eight percent of learners reported that they found this exercise useful, and there was a significant improvement in posttest scores after completion. Ninety-four percent of learners reported a commitment to using appropriate ICD–10-CM codes in their own practice after completion of the exercise. DISCUSSION: This effective module has been integrated into our ambulatory curriculum. Knowledge of ICD–10-CM coding allows physicians to document specifically and appropriately as they move forward in their practice.