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首页> 外文期刊>JMIR Medical Informatics >Navigating Through Electronic Health Records: Survey Study on Medical Students’ Perspectives in General and With Regard to a Specific Training
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Navigating Through Electronic Health Records: Survey Study on Medical Students’ Perspectives in General and With Regard to a Specific Training

机译：通过电子健康记录导航：关于医学生的观点一般和特定培训的调查研究

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Background An electronic health record (EHR) is the state-of-the-art method for ensuring all data concerning a given patient are up to date for use by multidisciplinary hospital teams. Therefore, medical students need to be trained to use health information technologies within this environment from the early stages of their education. Objective As little is known about the effects of specific training within the medical curriculum, this study aimed to develop a course module and evaluate it to offer best practice teaching for today’s students. Moreover, we looked at the acceptance of new technologies such as EHRs. Methods Fifth-year medical students (N=104) at the University of Tübingen took part in a standardized two-day training procedure about the advantages and risks of EHR use. After the training, students performed their own EHR entries on hypothetical patient cases in a safe practice environment. In addition, questionnaires—standardized and with open-ended questions—were administered to assess students’ experiences with a new teaching module, a newly developed EHR simulator, the acceptance of the health technology, and their attitudes toward it before and after training. Results After the teaching, students rated the benefit of EHR training for medical knowledge significantly higher than before the session (mean 3.74, SD 1.05). However, they also had doubts about the long-term benefit of EHRs for multidisciplinary coworking after training (mean 1.96, SD 0.65). The special training with simulation software was rated as helpful for preparing students (88/102, 86.2%), but they still did not feel safe in all aspects of EHR. Conclusions A specific simulated training on using EHRs helped students improve their knowledge and become more aware of the risks and challenges of such a system. Overall, students welcomed the new training module and supported the integration of EHR teaching into the medical curriculum. Further studies are needed to optimize training modules and make use of long-term feedback opportunities a simulated system offers.
机译：背景技术电子健康记录（EHR）是用于确保给定患者的所有数据的最先进的方法是由多学科医院团队使用的最新数据。因此，需要接受医学生从其教育的早期阶段使用这种环境中的健康信息技术。目的几乎是关于医学课程中特定培训的影响，这项研究旨在开发课程模块，并评估当今学生提供最佳实践教学。此外，我们研究了接受ehrs等新技术。方法采用廷宾大学的第五年医学院（N = 104）参加了关于EHR使用的优势和风险的标准化为期两天的培训程序。培训结束后，学生在安全练习环境中对假设患者案例进行了自己的EHR条目。此外，调查问卷标准化和开放式问题 - 被管理，以评估学生与新教学模块的学生的经验，新开发的EHR模拟器，培训前后对其的态度以及对其的态度。结果在教学后，学生评估了EHR培训对医学知识的效益明显高于会议前（平均3.74，SD 1.05）。但是，它们对训练后的多学科电流的EHRS的长期好处（平均1.96，SD 0.65），它们也有疑虑。仿真软件的特殊培训被评为为准备学生（88/102,86.2％）有用，但在EHR的各个方面仍然没有感到安全。结论使用EHRS的特定模拟培训帮助学生提高了他们的知识，并更加了解这种系统的风险和挑战。总体而言，学生欢迎新的培训模块，并支持EHR教学融入医学课程。需要进一步的研究来优化训练模块，并利用长期反馈机会模拟系统提供。

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