The Good, The Bad, And The Ugly As The EMR (electronic medical record) Collides With Education

This timely perspective lists many of the beneficial and harmful effects of the EMR on medical education.  EMRs may help with data retrieval, track trainees’ clinical activity, and educate via decision-support software.  They may also not allow for documentation by students, undercut the development of critical thinking skills, erode the usefulness of physician notes as a communication tool, and lead to a shift from time with patients to time with “iPatients”.  Not mentioned by the authors is the ease of over-documentation with automated history and exam entry.  Most EMR systems were not designed with the needs of students or residents in mind; medical educators need to attempt to make our voices heard in this marketplace. – Laura Willett, MD

Michael JT, Pageler, NM, Kahana, M, Pantaleoni, JL, Longhurst, CA. Medical Education in the Electronic Medical Record Era: Benefits, Challenges, and Future Directions. Acad Med. 2013 Jun;88(6):748-752.

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