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Medical Education in the Electronic Medical Record (EMR) Era: Benefits, Challenges, and Future Directions

Tierney, Michael J. MD; Pageler, Natalie M. MD; Kahana, Madelyn MD; Pantaleoni, Julie L. MD; Longhurst, Christopher A. MD, MS

doi: 10.1097/ACM.0b013e3182905ceb
Perspectives

In the last decade, electronic medical record (EMR) use in academic medical centers has increased. Although many have lauded the clinical and operational benefits of EMRs, few have considered the effect these systems have on medical education. The authors review what has been documented about the effect of EMR use on medical learners through the lens of the Accreditation Council for Graduate Medical Education’s six core competencies for medical education. They examine acknowledged benefits and educational risks to use of EMRs, consider factors that promote their successful use when implemented in academic environments, and identify areas of future research and optimization of EMRs’ role in medical education.

Dr. Tierney is a staff physician, Compensation and Pension and Ambulatory Care, VA Palo Alto Healthcare System, Palo Alto, California.

Dr. Pageler is medical director of clinical informatics, Lucile Packard Children’s Hospital, and assistant professor of clinical pediatrics, Stanford University School of Medicine, Palo Alto, California.

Dr. Kahana is vice chair, Department of Anesthesiology, Montefiore Medical Center, and professor of pediatrics and anesthesiology, Albert Einstein College of Medicine, Bronx, New York.

Dr. Pantaleoni is medical director of clinical informatics, Lucile Packard Children’s Hospital, and clinical instructor of pediatrics, Stanford University School of Medicine, Palo Alto, California.

Dr. Longhurst is chief medical information officer, Lucile Packard Children’s Hospital, and associate professor of clinical pediatrics, Stanford University School of Medicine, Palo Alto, California.

First published online April 24, 2013

Correspondence should be addressed to Dr. Tierney, VA Palo Alto Healthcare System, 3801 Miranda Ave., Palo Alto, CA 94304; telephone: (650) 493-5000 ext. 65912; fax: (650) 858-8900; e-mail: Michael.Tierney@va.gov.

© 2013 Association of American Medical Colleges