Cargando…

A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record

INTRODUCTION: All physicians must learn comprehensive patient care delivery within the electronic health record (EHR). No studies have considered EHR communication training with an emphasis on clinical efficiency. This curriculum provides a method of teaching clinic efficiency while practicing effec...

Descripción completa

Detalles Bibliográficos
Autores principales: Skelly, Kelly, Shen, Wendy, Wilbur, Jason, Thoma, Kate, Endres, Jill, Lynch, Alison, Gaglioti, Anne, Rosenbaum, Marcy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association of American Medical Colleges 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7597939/
https://www.ncbi.nlm.nih.gov/pubmed/33150199
http://dx.doi.org/10.15766/mep_2374-8265.10989
_version_ 1783602478633189376
author Skelly, Kelly
Shen, Wendy
Wilbur, Jason
Thoma, Kate
Endres, Jill
Lynch, Alison
Gaglioti, Anne
Rosenbaum, Marcy
author_facet Skelly, Kelly
Shen, Wendy
Wilbur, Jason
Thoma, Kate
Endres, Jill
Lynch, Alison
Gaglioti, Anne
Rosenbaum, Marcy
author_sort Skelly, Kelly
collection PubMed
description INTRODUCTION: All physicians must learn comprehensive patient care delivery within the electronic health record (EHR). No studies have considered EHR communication training with an emphasis on clinical efficiency. This curriculum provides a method of teaching clinic efficiency while practicing effective patient communication in any EHR clinical situation. The target audience is resident physicians, fellow physicians, faculty physicians, and physician extenders practicing in a primary care setting where the EHR is present. METHODS: This curriculum of four separate workshops provides a structured EHR approach while addressing communication strategies for preclinical preparation, rapport building, encounter initiation, agenda setting, and visit closure. The curriculum contains interactive presentations, tools, and an evaluation survey. Presenting efficiency issues with the EHR using the ATTEND mnemonic and agenda setting allows documentation while practicing communication techniques that maximize efficiency. RESULTS: Postworkshop surveys revealed that participants felt the workshops were helpful (84%). One measurement of efficiency revealed improvement through decreased number of days to note completion after workshop participation. At the Program Directors Workshop, curriculum value was demonstrated by high attendance, with 94% feeling the workshops provided easily utilizable strategies. DISCUSSION: The curriculum utilized only the EPIC EHR but would be generalizable. Future directions could include measurement of effective communication and visit efficiency through direct observation and expanded EHR timing data.
format Online
Article
Text
id pubmed-7597939
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Association of American Medical Colleges
record_format MEDLINE/PubMed
spelling pubmed-75979392020-11-03 A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record Skelly, Kelly Shen, Wendy Wilbur, Jason Thoma, Kate Endres, Jill Lynch, Alison Gaglioti, Anne Rosenbaum, Marcy MedEdPORTAL Original Publication INTRODUCTION: All physicians must learn comprehensive patient care delivery within the electronic health record (EHR). No studies have considered EHR communication training with an emphasis on clinical efficiency. This curriculum provides a method of teaching clinic efficiency while practicing effective patient communication in any EHR clinical situation. The target audience is resident physicians, fellow physicians, faculty physicians, and physician extenders practicing in a primary care setting where the EHR is present. METHODS: This curriculum of four separate workshops provides a structured EHR approach while addressing communication strategies for preclinical preparation, rapport building, encounter initiation, agenda setting, and visit closure. The curriculum contains interactive presentations, tools, and an evaluation survey. Presenting efficiency issues with the EHR using the ATTEND mnemonic and agenda setting allows documentation while practicing communication techniques that maximize efficiency. RESULTS: Postworkshop surveys revealed that participants felt the workshops were helpful (84%). One measurement of efficiency revealed improvement through decreased number of days to note completion after workshop participation. At the Program Directors Workshop, curriculum value was demonstrated by high attendance, with 94% feeling the workshops provided easily utilizable strategies. DISCUSSION: The curriculum utilized only the EPIC EHR but would be generalizable. Future directions could include measurement of effective communication and visit efficiency through direct observation and expanded EHR timing data. Association of American Medical Colleges 2020-10-29 /pmc/articles/PMC7597939/ /pubmed/33150199 http://dx.doi.org/10.15766/mep_2374-8265.10989 Text en © 2020 Skelly et al. https://creativecommons.org/licenses/by/4.0/ This is an open-access publication distributed under the terms of the Creative Commons Attribution (https://creativecommons.org/licenses/by/4.0/) license.
spellingShingle Original Publication
Skelly, Kelly
Shen, Wendy
Wilbur, Jason
Thoma, Kate
Endres, Jill
Lynch, Alison
Gaglioti, Anne
Rosenbaum, Marcy
A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record
title A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record
title_full A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record
title_fullStr A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record
title_full_unstemmed A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record
title_short A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record
title_sort curriculum for teaching clinical efficiency focusing on specific communication skills while maximizing the electronic health record
topic Original Publication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7597939/
https://www.ncbi.nlm.nih.gov/pubmed/33150199
http://dx.doi.org/10.15766/mep_2374-8265.10989
work_keys_str_mv AT skellykelly acurriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT shenwendy acurriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT wilburjason acurriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT thomakate acurriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT endresjill acurriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT lynchalison acurriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT gagliotianne acurriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT rosenbaummarcy acurriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT skellykelly curriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT shenwendy curriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT wilburjason curriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT thomakate curriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT endresjill curriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT lynchalison curriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT gagliotianne curriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord
AT rosenbaummarcy curriculumforteachingclinicalefficiencyfocusingonspecificcommunicationskillswhilemaximizingtheelectronichealthrecord