Cavaretta Marissa J, Wetterling Joseph, Wagner Jamie L, Gallagher Jason C
Department of Pharmacy Practice, Temple University School of Pharmacy, United States of America.
Information Technology, Temple University Health System, United States of America.
Curr Pharm Teach Learn. 2025 Mar;17(3):102273. doi: 10.1016/j.cptl.2024.102273. Epub 2024 Dec 26.
The integration of Electronic Health Records (EHRs) in healthcare has changed how healthcare is performed, necessitating a comprehensive understanding of these systems among pharmacists. The ability to navigate EHRs is crucial for pharmacy students' success in introductory and advanced pharmacy practice experiences (IPPEs and APPEs). This manuscript describes the development and use of an EHR training environment in an APPE-readiness course.
We developed an APPE-readiness course integrating a comprehensive longitudinal patient case within the Epic EHR training environment. The course was designed for third-year pharmacy students in their final didactic semester, focusing on practical skills and the Pharmacists' Patient Care Process (PPCP). Using a fictitious patient with multiple chronic conditions, students engaged in a variety of activities, including data collection, problem assessment, care plan creation, literature and guideline application, and communication using the SBAR technique. The course aimed to transition classroom knowledge into practical skills, assessed individually through application-based exams and quizzes.
The course required significant initial resource investment but demonstrated benefits in student perceptions of preparedness. Student feedback indicated a desire for more group work and advanced learning options for quicker learners. Adjustments were made in the second course year, including modifications to the patient case and incorporation of resident instructors to help with the EHR training environment. Survey results showed improvements in students' self-assessed skills and confidence in their APPE readiness in both class years.
The EHR-based capstone course effectively increased students' confidence and preparedness for APPEs, highlighting the value of practical, longitudinal case-based learning. Our work supports the integration of EHR training in pharmacy curricula to enhance APPE-readiness. Other institutions can use similar EHR training environment tools in their curricula.
电子健康记录（EHRs）在医疗保健中的整合改变了医疗保健的实施方式，这就要求药剂师全面了解这些系统。能够操作电子健康记录对于药学专业学生在基础和高级药学实践经验（IPPEs和APPEs）中取得成功至关重要。本文描述了在一门APPE准备课程中电子健康记录培训环境的开发与使用。
我们开发了一门APPE准备课程，在Epic电子健康记录培训环境中整合了一个全面的纵向患者病例。该课程是为处于最后理论学期的三年级药学专业学生设计的，重点是实践技能和药剂师患者护理流程（PPCP）。学生们以一名患有多种慢性病的虚拟患者为对象，参与了各种活动，包括数据收集、问题评估、护理计划制定、文献和指南应用，以及使用SBAR技术进行沟通。该课程旨在将课堂知识转化为实践技能，通过基于应用的考试和测验进行个体评估。
该课程最初需要大量资源投入，但在学生对准备情况的认知方面显示出了益处。学生反馈表明，他们希望有更多小组作业以及为学习较快的学生提供进阶学习选项。在课程的第二年进行了调整，包括修改患者病例并引入住院教师以协助电子健康记录培训环境。调查结果显示，在这两个学年中，学生的自我评估技能以及对APPE准备情况的信心都有所提高。
基于电子健康记录的顶点课程有效地提高了学生对APPE的信心和准备程度，凸显了基于实践的纵向案例学习的价值。我们的工作支持在药学课程中整合电子健康记录培训，以增强对APPE的准备。其他机构可以在其课程中使用类似的电子健康记录培训环境工具。
