Simulated Electronic Health Record (Sim-EHR) Curriculum: Teaching EHR Skills and Use of the EHR for Disease Management and Prevention. Milano, C. E., Hardman, J. A., Plesiu, A., Rdesinski, R. E. & Biagioli, F. E. Academic Medicine 89, 399–403 (2014).
The Simulated EHR (Sim-EHR) curriculum was introduced at Oregon Health & Science University to provide a safe hands-on environment for learning EHR skills. The paper describes the development and implementation of the curriculum, preliminary findings & lessons learned - suggesting the curriculum as an effective method for teaching EHR skills.
The Sim-EHR was intended to transform the haphazard, exposure-based EHR education into a more uniform experience with defined objectives and assessments. The course was implemented in the family medicine clerkship component:
- Each student got access to a copy of the virtual patient with a different name. They attended a half hour orientation session and given two weeks to work on the chart.
- A two-hour session in the first week was held to discuss the work and the contents of the chart. They were given an assignment and encouraged to work in groups to complete it. A final session facilitated discussion on EHR and managing care.
The article details lessons learned: identification of strengths and gaps in student knowledge, changing the timing and duration of the exercise in response to student feedback, and changing the grading to give more weight to the exercise.
The authors detail the creation and content of an e-health learning module, in addition to integration and implementation. The module utilized online simulation case-based learning which would make it easy to provide to students within the context of any course at most institutions. The article goes into good detail on how the course was implemented and assessed, in addition to providing detail on the case and simulation itself. Overall, a good example of e-health learning at the undergraduate level. 4/5 checks.