Department of Medicine, University of Chicago, Chicago, USA.
Department of Pediatrics, University of Chicago, Chicago, USA.
Patient Educ Couns. 2018 Dec;101(12):2156-2161. doi: 10.1016/j.pec.2018.06.020. Epub 2018 Jul 3.
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.
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.
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.
A brief lecture and GOSCE can be effective in training busy faculty on patient-centered EHR use skills.
Faculty training on patient-centered EHR skills can enhance patient-doctor communication and promotes positive role modeling of these skills to learners.
尽管电子健康记录 (EHR) 的采用速度很快,但很少有教师接受过在诊室中使用计算机时如何实施以患者为中心的沟通技巧的培训。我们试点了以患者为中心的 EHR 使用培训来解决这个问题。
克利夫兰诊所的教师接受了 4 小时的培训,芝加哥大学的教师接受了浓缩的 90 分钟版本的培训。两者都包括讲座和小组客观结构化临床考试 (GOSCE) 体验。在工作坊之前和之后,对 10 位教师在临床实践中的直接观察进行了评估。
30 名参与者 (94%) 完成了一项评估知识、态度和技能的课后评估。教师报告说,培训很重要、很相关,应该要求所有提供者都参加;较长和较短的培训之间没有差异。然而,较长培训的参与者报告说他们在 GOSCE 中的效能更高,而较短工作坊的参与者更同意他们获得了新知识的说法。使用经过验证的直接观察评分工具,教师在临床实践中以术后评分而非术前评分提高了以患者为中心的 EHR 使用技能。
简短的讲座和 GOSCE 可以有效地培训忙碌的教师以患者为中心的 EHR 使用技能。
对教师进行以患者为中心的 EHR 技能培训可以增强医患沟通,并促进对学习者的这些技能的积极示范。