Electronic health records (EHRs) can improve many aspects of patient care, yet few formal EHR curricula exist to teach optimal use to students and other trainees. The Simulated EHR (Sim-EHR) curriculum was introduced in January 2011 at Oregon Health & Science University (OHSU) to provide learners with a safe hands-on environment in which to apply evidence-based guidelines while learning EHR skills. Using an EHR training platform identical to the OHSU EHR system, learners review and correct a simulated medical chart for a complex virtual patient with chronic diseases and years of fragmented care. They write orders and prescriptions, create an evidence-based plan of care for indicated disease prevention and management, and review their work in a small-group setting. Third-year students complete the Sim-EHR curriculum as part of the required family medicine clerkship; their chart work is assessed using a rubric tied to the curriculum’s general and specific objectives. As of January 2014, 406 third-year OHSU medical students, on campus or at remote clerkship sites, and 21 OHSU internal medicine interns had completed simulated charts.
In this article, the authors describe the development and implementation of the Sim-EHR curriculum, with a focus on use of the curriculum in the family medicine clerkship. They also share preliminary findings and lessons learned. They suggest that the Sim-EHR curriculum is an effective, interactive method for providing learners with EHR skills education while demonstrating how a well-organized chart helps ensure safe, efficient, and quality patient care.
Dr. Milano is assistant professor, Department of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Dr. Hardman is assistant professor, Department of Medicine, Oregon Health & Science University, Portland, Oregon.
Dr. Plesiu is an intern, Kettering Medical Center, Kettering, Ohio.
Ms. Rdesinski is a research associate, Department of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Dr. Biagioli is associate professor, Department of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Funding/Support: Dr. Milano, Ms. Rdesinski, and Dr. Biagioli were partially funded by an NIH grant supporting this study (National Cancer Institute grant 1R25CA158571-01A1; Integrating Patient Centered EHR and HIT Curriculum into BSS Medical Education; primary investigator, Frances Biagioli, MD).
Other disclosures: None reported.
Ethical approval: This study was approved by OHSU’s institutional review board.
Previous presentations: Portions of this work were presented at the Association of American Medical Colleges Western Regional Conference, Irvine, California, May 2013; at the 38th Annual Society of Teachers of Family Medicine Medical Student Education Conference, Long Beach, California, February 2012; at the Epic User’s Group Annual Meeting, Verona, Wisconsin, September 2011; and at the 37th Annual Society of Teachers of Family Medicine Medical Student Education Conference, Houston, Texas, January 2011.
Correspondence should be addressed to Dr. Milano, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., Mail Code: FM, Portland, OR 97239; telephone: (503) 418-3973; e-mail: firstname.lastname@example.org.