Abelev Ilya, Fraser Jacqueline, Canales Donaldo D, Hanson Natasha, Atkinson Paul, Lewis David
Emergency Medicine, Dalhousie University/Saint John Regional Hospital, Saint John, CAN.
Research Services, Horizon Health Network, Saint John, CAN.
Cureus. 2021 Mar 11;13(3):e13836. doi: 10.7759/cureus.13836.
Background A shift towards electronic medical records (EMR) has increased physician burnout and decreased physician satisfaction and productivity. One solution to alleviate EMR stressors is the implementation of medical scribes. Scribes have been shown to increase physician productivity and satisfaction. The study objective was to elucidate medical and undergraduate student scribing experience to determine if that experience can incentivize scribes to work in the emergency department. Methods Ten students scribed and shadowed at a tertiary ED between July 4, 2019, and August 10, 2019. Medical students participated in two scribing and two non-scribing (shadowing) sessions, each lasting four hours. Undergraduate students only had a scribing condition. To facilitate scribing, a laptop with a wireless keyboard was provided, as well as a stand-up laptop tray. An exit survey and semi-structured interviews were conducted after the scribing experience. The majority of insights were extracted from interviews. Transcripts were coded into thematic coding trees and analyzed using thematic analysis. Results All undergraduate students preferred volunteering in the ED over other volunteer experiences. All undergraduates cited direct access to the medical field, resume building, and perceived value added to the health care team as motivators to continue scribing. Most students credited demystification of the medical profession as a motivator. Most medical students felt scribing should be integrated into their curriculum. Based on survey results, five undergraduate students would volunteer 40 hours/week. Conclusion Our study showed that a volunteer model of scribing is feasible. Importantly, scribing may be an invaluable experience for directing career goals and ensuring that students intrinsically interested in medicine pursue the profession. Although a volunteer model may not provide the desired benefit in terms of ED efficiency, it may be an integral part of training the next wave of physicians.
背景 向电子病历（EMR）的转变增加了医生的职业倦怠，降低了医生的满意度和工作效率。缓解电子病历压力源的一个解决方案是引入医疗抄写员。抄写员已被证明可以提高医生的工作效率和满意度。本研究的目的是阐明医学专业学生和本科学生的抄写经历，以确定该经历是否能激励抄写员在急诊科工作。方法 2019年7月4日至2019年8月10日期间，10名学生在一家三级急诊科进行抄写和跟班实习。医学专业学生参加了两次抄写和两次非抄写（跟班）课程，每次课程持续4小时。本科学生只有抄写环节。为便于抄写，提供了一台配有无线键盘的笔记本电脑以及一个笔记本电脑站立式托盘。抄写经历结束后进行了退出调查和半结构化访谈。大部分见解来自访谈。访谈记录被编码到主题编码树中，并使用主题分析进行分析。结果 所有本科学生都更喜欢在急诊科做志愿者，而不是其他志愿者经历。所有本科生都提到直接接触医学领域、简历构建以及对医疗团队的感知附加值是继续抄写的动力。大多数学生认为揭开医学职业的神秘面纱是一种动力。大多数医学专业学生认为抄写应纳入他们的课程。根据调查结果，五名本科学生愿意每周志愿工作40小时。结论 我们的研究表明，抄写员志愿者模式是可行的。重要的是，抄写可能是指导职业目标以及确保对医学有内在兴趣的学生投身该职业的宝贵经历。尽管志愿者模式在急诊科效率方面可能无法提供预期的益处，但它可能是培养下一代医生不可或缺的一部分。
