University of Nebraska Medical Center College of Pharmacy, 986145 Nebraska Medical Center, Omaha, NE 68198, United States.
University of California San Diego School of Medicine, 9500 Gilman Drive, La Jolla, CA 92093, United States.
Curr Pharm Teach Learn. 2021 Apr;13(4):327-332. doi: 10.1016/j.cptl.2020.11.005. Epub 2020 Dec 16.
Despite widespread implementation of the electronic health record (EHR) in practice, the EHR curriculum in pharmacy schools is slow to emerge. This study used a single assessment tool to evaluate pharmacy students' perceived readiness to use an EHR after completion of two different curricula.
Pharmacy students at the University of Nebraska Medical Center (UNMC) and the University of California San Diego (UCSD) pharmacy schools voluntarily participated. A 14-item survey was administered asking students to rate their comfort on several different EHR skills. Baseline data on non-academic EHR exposure was also collected.
Seventy students at UNMC and 69 students at UCSD participated in the survey (27.2% and 28.5% response rate, respectively). Gender and academic year were similar between institutions. Overall, students were more comfortable finding information compared to entering new information in the EHR. Students were most comfortable reviewing laboratory information, progress notes, and medication lists and less comfortable performing medication reconciliation and identifying clinical errors. There were no differences between institutions for overall comfort. Students with at least one month of extracurricular EHR experience rated themselves as more comfortable, but not all of those differences were statistically significant.
This study demonstrated that two different EHR curricula in two different pharmacy schools can result in similar student confidence. The information and assessment tool from this study can be a helpful starting point for other schools to determine student preparedness to work with the EHR as well as provide information to inform EHR curricula design and assessment.
尽管电子病历（EHR）在实践中已广泛应用，但药学学校的 EHR 课程仍在缓慢发展。本研究使用单一评估工具评估了药学学生在完成两种不同课程后使用 EHR 的感知准备情况。
内布拉斯加大学医学中心（UNMC）和加利福尼亚大学圣地亚哥分校（UCSD）的药学学生自愿参加了这项研究。一项包含 14 个项目的调查向学生询问了他们在几种不同的 EHR 技能方面的舒适度。还收集了非学术性 EHR 接触的基线数据。
UNMC 有 70 名学生和 UCSD 有 69 名学生参加了这项调查（响应率分别为 27.2%和 28.5%）。两所学校的性别和学术年级相似。总体而言，学生在 EHR 中查找信息比输入新信息更舒适。学生最舒适的是查看实验室信息、进度记录和药物清单，而最不舒适的是执行药物重整和识别临床错误。两所学校的总体舒适度没有差异。至少有一个月课外 EHR 经验的学生自我评估更舒适，但并非所有差异都具有统计学意义。
本研究表明，在两所不同的药学学校中使用两种不同的 EHR 课程可以产生相似的学生信心。本研究的信息和评估工具可以为其他学校提供帮助，确定学生使用 EHR 的准备情况，并为 EHR 课程设计和评估提供信息。
