Residents' Insights and Ideas about Screen-Sharing in Primary Care Clinics. Appl Clin Inform 2017 Oct;8(4):1153-1158
Date
12/15/2017Pubmed ID
29241252Pubmed Central ID
PMC5802306DOI
10.4338/ACI-17-0057-RAScopus ID
2-s2.0-85052570412 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
Background Previous studies described attending physicians' perceptions of the benefits and downsides of having the electronic health record (EHR) in the room during a clinical encounter. The perspective of residents has received little attention. Objective The goal of this project was to solicit internal medicine residents' perception of EHR use in primary care clinic visits. In this report, we focus on residents' perception of screen-sharing. Methods We conducted qualitative, semistructured interviews of internal medicine residents. Interviews were audiorecorded, transcribed, and anonymized. Using a deductive approach to data analysis, we coded the transcripts to identify themes of interest. Results We included 21 residents. We identified eight themes related to screen-sharing. We identified opportunities, facilitators and barriers, and outcomes related to screen-sharing. We conceptualized the outcomes, facilitators, and barriers as falling into four categories: structural, patient based, physician based, and interactional. Conclusion Wider dissemination and adoption of curricula designed to teach residents how to incorporate EHR into the clinical encounter is needed. In addition, our study demonstrates the need to focus this training, at least in part, on screen-sharing and management of sensitive information disclosure.
Author List
Fletcher KE, Asan O, Tyszka JAuthor
Kathlyn E. Fletcher MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAttitude of Health Personnel
Electronic Health Records
Female
Humans
Internal Medicine
Internship and Residency
Male
Primary Health Care
