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电子病历及其对住院医师和医学生教育的影响。

Electronic medical records and their impact on resident and medical student education.

作者信息

Keenan Craig R, Nguyen Hien H, Srinivasan Malathi

机构信息

University of California, Davis, Sacramento, California, USA.

出版信息

Acad Psychiatry. 2006 Nov-Dec;30(6):522-7. doi: 10.1176/appi.ap.30.6.522.

Abstract

OBJECTIVE

Electronic medical records (EMRs) are becoming prevalent and integral tools for residents and medical students. EMRs can integrate point-of-service information delivery within the context of patient care. Though it may be an educational tool, little is known about how EMR technology is currently used for medical learners.

METHOD

The authors reviewed the available published literature about the impact of EMRs on learners, including learners' attitudes about EMRs, educational uses of EMRs, and the potential effects of EMRs on learners' daily work.

RESULTS

Research on EMRs for education is in its infancy. The authors found fewer than 50 articles with evidence on their use in medical education. The applications to education included point-of-care knowledge delivery, computerized clinical decision support systems, profiling of learner experiences, and daily workflow management. The evidence was mainly derived from single institution studies and occasionally across disciplines.

CONCLUSIONS

EMRs have great potential as an educational tool, but thus far, strong data to support their use for this are lacking. As the usage of EMRs rises, educators must continue to study how best to use technology as an educational tool and as a tool to improve the daily work of residents and medical students.

摘要

目的

电子病历(EMR)正成为住院医师和医学生普遍使用且不可或缺的工具。电子病历能够在患者护理的背景下整合服务点信息传递。尽管它可能是一种教育工具,但目前对于电子病历技术如何被医学学习者使用却知之甚少。

方法

作者回顾了已发表的关于电子病历对学习者影响的文献,包括学习者对电子病历的态度、电子病历的教育用途以及电子病历对学习者日常工作的潜在影响。

结果

关于电子病历用于教育的研究尚处于起步阶段。作者发现仅有不到50篇文章有关于其在医学教育中使用的证据。其在教育方面的应用包括即时护理知识传递、计算机化临床决策支持系统、学习者经验剖析以及日常工作流程管理。证据主要来自单机构研究,偶尔也有跨学科研究。

结论

电子病历作为一种教育工具具有巨大潜力,但迄今为止,缺乏有力数据支持其用于此目的。随着电子病历使用的增加,教育工作者必须继续研究如何最好地将技术用作教育工具以及改善住院医师和医学生日常工作的工具。

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