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A Curriculum for Teaching Clinical Efficiency Focusing on Specific Communication Skills While Maximizing the Electronic Health Record
Assignment/exercise   Open access   Peer reviewed

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

Kelly Skelly, Wendy Shen, Jason Wilbur, Kate Thoma, Jill Endres, Alison Lynch, Anne Gaglioti and Marcy Rosenbaum
MedEdPORTAL, Vol.16, pp.10989-10989
10/29/2020
DOI: 10.15766/mep_2374-8265.10989
PMCID: PMC7597939
PMID: 33150199
url
https://doi.org/10.15766/mep_2374-8265.10989View
Published (Version of record)Zip file with 10 docx and pptx files Open Access

Abstract

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. Educational Objectives By the end of this activity, learners will be able to: 1. Describe specific needs for provider efficiency education for maximizing use of the electronic health record (EHR). 2. Apply effective communication skills via an approach utilizing preclinic preparation, agenda setting, and visit closure within the EHR to be more efficient. 3. Demonstrate a new approach to using certain communication skills such as establishing rapport with the ATTEND method and agenda setting while utilizing the EHR to allow communication to increase clinic efficiency.

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