The Electronic Medical Record: A Tool for Teaching

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The Electronic Medical RecordA Tool for Teaching

• Nancy B. Clark, M.Ed.
• Director of Medical Informatics Education,
• FSU College of Medicine
• For GRIPE Annual Meeting, 1/23/2003

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Goals for this session

• AAMC Informatics Objectives
• Selecting the EMR
• Using the EMR in the CLC
• Educational objectives
• Hands on Experience

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Resources/Reading

• Rakel, R. (2002) Electronic Medical Record. In
  Rakel, R. Textbook of Family Practice, 6th Ed.
  W. B. Saunders Co. pp 1635-1645. Available in
  MDConsult.

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AAMC MSOPMedical School Objectives Project

• Medical informatics use in five major roles
  played by physicians
• Life-long Learner
• Clinician
• Educator/Communicator
• Researcher
• Manager
• http//www.aamc.org/meded/msop/msop2.pdf (June
  1998)

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Role of Clinician

• Retrieve patient-specific information from a
  clinical information system, demonstrating the
  ability to display selected subsets of the
  information available about a given patient

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Role of Clinician

• Make critical use of decision support,
  demonstrating knowledge of the available sources
  of decision support which range from textbooks to
  diagnostic expert systems to advisories issued
  from a computer-based patient record.

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Role of Clinician

• Document and share patient-specific information,
  demonstrating the ability to record in
  information systems specific findings about a
  patient and orders directing the further care of
  the patient.
• Use security-directed features of an information
  system

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FSU Strategy

• No clinical activity no real patients
• Clinical Learning Center - simulated patients
• History Taking
• Physical Exam
• Documentation?
• Electronic Medical Record System!
• Request for bids

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Practice Partner

• Donated 40 user licenses
• Established in 1985
• 5000 doctors using
• 30 residency programs
• Practice based research network
• Decision Support
• Drug interactions
• Drug allergy
• Knowledge base links

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Practice Partner
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Hardware Configuration
Server
Wireless node
Client Tablet PC
Databases
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Using Tablet PC

• Wireless, touch sensitive handheld
• Windows computer
• Stylus
• Cradle with keyboard and mouse
• Used to score student performance
• Used to access medical record and document
  encounter
• Access medical information at point of care

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EMR
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Using Tablet PC
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EMR Educational Objectives

• Access patient information
• Documentation of Progress
• Chronic Disease Management
• Coding
• Communication
• Decision Support
• Patient Education Handouts
• Prevention/Health Maintenance
• Security and Privacy

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Simulated Patient Cases

• Past Medical History
• Social History
• Family History
• Lab data
• Multiple problems
• Multiple medications
• 4 dimensional

• Training site
• CLC
• Doctoring small groups
• PBL sessions
• Lecture/grand rounds

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Quality Care
Knowledge Management
Clinical InformationManagement Order entry, EMR,
Billing
Decision Support
Communications
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Resources on EMRs

• Electronic Medical Records at AAFP
• http//www.aafp.org/x432.xml
• Computerization at FPnet
• http//www.aafp.org/fpnet.xml
• Computerized Medical Records
• http//www.healthcare-informatics.com/issues/2002/
  05_02/spotlight.pdf

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Hands On Experience

• Using Practice Partner EMR