Meehan Rebecca, Kawalec Jill, Caldwell Bryan, Putman David
School of Information at Kent State University in Kent, OH.
College of Podiatric Medicine at Kent State University in Kent, OH.
Perspect Health Inf Manag. 2018 Jan 1;15(Winter):1c. eCollection 2018 Winter.
The aim of this study was to survey podiatric residency directors to evaluate the proficiency of first-year podiatric medical residents in the use of electronic medical records and its potential impact on medical care.
An online survey consisting of Likert-scale, multiple-choice, and open-ended questions was sent via email to 216 podiatric residency directors. Questions were directed toward the level of proficiency in electronic medical records expected at the beginning of residency training and the impact on patient care of residents' inexperience with electronic medical records.
A total of 54 of the 216 podiatric medical residency directors completed the survey. Results indicated that 70.3 percent of respondent directors expected a moderate level of proficiency in the use of electronic medical records; however, 35.2 percent indicated that less than 50 percent of the new residents had experience with electronic medical records prior to starting residency training. Only 51.5 percent of respondent directors felt that the new residents were successful or highly successful in using their hospital's electronic medical record upon arrival, but that figure increased to 98.2 percent upon completion of the first year of residency. Of importance, 29.7 percent of respondent directors reported that inexperience in electronic medical record use resulted in a more-than-average to high impact on patient care, with open-ended responses including concerns about potential HIPAA violations, data breaches, or lost data.
Residency directors deem it important that incoming first-year residents have a basic understanding of electronic medical records and related health informatics concepts; however, in-depth knowledge is not expected because of the high number of software programs available. Nonetheless, nearly one-third of respondents reported that inexperience in electronic medical record use does have a significant impact on patient care.
本研究旨在调查足病医学住院医师培训项目主任，以评估足病医学一年级住院医师使用电子病历的熟练程度及其对医疗护理的潜在影响。
通过电子邮件向216名足病医学住院医师培训项目主任发送了一份包含李克特量表、多项选择题和开放式问题的在线调查问卷。问题涉及住院医师培训开始时预期的电子病历熟练程度水平，以及住院医师在电子病历方面缺乏经验对患者护理的影响。
216名足病医学住院医师培训项目主任中共有54人完成了调查。结果表明，70.3%的受访主任期望住院医师在使用电子病历方面达到中等熟练程度；然而，35.2%的主任表示，不到50%的新住院医师在开始住院医师培训之前有使用电子病历的经验。只有51.5%的受访主任认为新住院医师在入职时能够成功或非常成功地使用医院的电子病历，但在完成第一年住院医师培训后，这一比例上升到了98.2%。重要的是，29.7%的受访主任报告称，电子病历使用经验不足对患者护理产生了高于平均水平到很高的影响，开放式回答包括对潜在的违反《健康保险流通与责任法案》（HIPAA）、数据泄露或数据丢失的担忧。
住院医师培训项目主任认为，即将入学的一年级住院医师对电子病历及相关健康信息学概念有基本了解很重要；然而，由于可用的软件程序众多，并不期望他们有深入的知识。尽管如此，近三分之一的受访者报告称，电子病历使用经验不足确实对患者护理有重大影响。
