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首页> 外文期刊>Patient education and counseling >The impact of residents' training in Electronic Medical Record (EMR) use on their competence: Report of a pragmatic trial
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The impact of residents' training in Electronic Medical Record (EMR) use on their competence: Report of a pragmatic trial

机译：居民接受电子病历（EMR）使用培训对其能力的影响：一项实用试验报告

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Objectives: Even though Electronic Medical Records (EMRs) are increasingly used in healthcare organizations there is surprisingly little theoretical work or educational programs in this field. This study is aimed at comparing two training programs for doctor-patient-computer communication (DPCC). Methods: 36 Family Medicine Residents (FMRs) participated in this study. All FMRs went through twelve identical simulated encounters, six pre and six post training. The experiment group received simulation based training (SBT) while the control group received traditional lecture based training. Results: Performance, attitude and sense of competence of all FMRs improved, but no difference was found between the experiment and control groups. FMRs from the experiment group evaluated the contribution of the training phase higher than control group, and showed higher satisfaction. Conclusion: We assume that the mere exposure to simulation served as a learning experience and enabled deliberate practice that was more powerful than training. Because DPCC is a new field, all participants in such studies, including instructors and raters, should receive basic training of DPCC skills. Practice implication: Simulation enhances DPCC skills. Future studies of this kind should control the exposure to simulation prior to the training phase. Training and assessment of clinical communication should include EMR related skills.
机译：目标：尽管医疗机构越来越多地使用电子病历（EMR），但该领域的理论工作或教育计划却很少。这项研究旨在比较两种医患计算机通信（DPCC）的培训计划。方法：36名家庭医学居民（FMR）参加了这项研究。所有FMR都要经过十二次相同的模拟遭遇，六次训练前和六次训练后。实验组接受基于模拟的培训（SBT），而对照组接受传统的基于讲座的培训。结果：所有FMR的性能，态度和能力意识均得到改善，但实验组和对照组之间没有差异。实验组的FMR评估训练阶段的贡献高于对照组，并显示出较高的满意度。结论：我们认为，仅仅接触模拟就可以作为学习经验，并且可以使深思熟虑的实践比训练更有效。由于DPCC是一个新领域，因此所有此类研究的参与者，包括讲师和评估者，都应接受DPCC技能的基础培训。实践意义：模拟可增强DPCC技能。此类未来的研究应在训练阶段之前控制对模拟的接触。临床交流的培训和评估应包括与EMR相关的技能。

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