Impact of a brief faculty training to improve patient-centered communication while using electronic health records

PATIENT EDUCATION AND COUNSELING

卷:101

Article

Lee, Wei Wei¹  Alkureishi, Maria L.²  Isaacson, J. Harry³  Mayer, Mark³  Frankel, Richard M.⁴  London, Daniel A.⁵  Wroblewski, Kristen E.⁶  Arora, Vineet M.¹ 

[1] Univ Chicago, Dept Med, 5841 S Maryland Ave,MC 3051, Chicago, IL 60637 USA

[2] Univ Chicago, Dept Pediat, Chicago, IL 60637 USA

[3] Cleveland Clin, Lerner Coll Med, Dept Med, Cleveland, OH 44106 USA

[4] Indiana Univ Sch Med, Dept Med, Indianapolis, IN 46202 USA

[5] Mt Sinai Hosp Syst, Dept Orthoped, New York, NY USA

[6] Univ Chicago, Dept Publ Hlth Sci, Chicago, IL 60637 USA

关键词: Electronic health records;    Patient-centered care;    Communication skills;    Faculty development;    Continuing medical education;   

DOI  :  10.1016/j.pec.2018.06.020

来源: Elsevier

【 摘 要 】

Objective: Despite rapid EHR adoption, few faculty receive training in how to implement patient-centered communication skills while using computers in exam rooms. We piloted a patient-centered EHR use training to address this issue. Methods: Faculty received four hours of training at Cleveland Clinic and a condensed 90-minute version at the University of Chicago. Both included a lecture and a Group-Objective Structured Clinical Exam (GOSCE) experience. Direct observations of 10 faculty in their clinical practices were performed pre- and post-workshop. Results: Thirty participants (94%) completed a post-workshop evaluation assessing knowledge, attitude, and skills. Faculty reported that training was important, relevant, and should be required for all providers; no differences were found between longer versus shorter training. Participants in the longer training reported higher GOSCE efficacy, however shorter workshop participants agreed more with the statement that they had gained new knowledge. Faculty improved their patient-centered EHR use skills in clinical practice on post- versus pre-workshop ratings using a validated direct-observation rating tool. Conclusion: A brief lecture and GOSCE can be effective in training busy faculty on patient-centered EHR use skills. Practice Implications: Faculty training on patient-centered EHR skills can enhance patient-doctor communication and promotes positive role modeling of these skills to learners. (C) 2018 Elsevier B.V. All rights reserved.

【 授权许可】

Free