TY - JOUR
T1 - Residents’ insights and ideas about screen-sharing in primary care clinics
AU - Fletcher, Kathlyn E.
AU - Asan, Onur
AU - Tyszka, Jeanne
N1 - Publisher Copyright:
Copyright © 2017 Schattauer
PY - 2017
Y1 - 2017
N2 - Background Previous studies described attending physicians’ perceptions of the benefits and downsides of having the electronic health record (EHR) in the room during a clinical encounter. The perspective of residents has received little attention. Objective The goal of this project was to solicit internal medicine residents’ perception of EHR use in primary care clinic visits. In this report, we focus on residents’ perception of screen-sharing. Methods We conducted qualitative, semistructured interviews of internal medicine residents. Interviews were audiorecorded, transcribed, and anonymized. Using a deductive approach to data analysis, we coded the transcripts to identify themes of interest. Results We included 21 residents. We identified eight themes related to screen-sharing. We identified opportunities, facilitators and barriers, and outcomes related to screen-sharing. We conceptualized the outcomes, facilitators, and barriers as falling into four categories: structural, patient based, physician based, and interactional. Conclusion Wider dissemination and adoption of curricula designed to teach residents how to incorporate EHR into the clinical encounter is needed. In addition, our study demonstrates the need to focus this training, at least in part, on screen-sharing and management of sensitive information disclosure.
AB - Background Previous studies described attending physicians’ perceptions of the benefits and downsides of having the electronic health record (EHR) in the room during a clinical encounter. The perspective of residents has received little attention. Objective The goal of this project was to solicit internal medicine residents’ perception of EHR use in primary care clinic visits. In this report, we focus on residents’ perception of screen-sharing. Methods We conducted qualitative, semistructured interviews of internal medicine residents. Interviews were audiorecorded, transcribed, and anonymized. Using a deductive approach to data analysis, we coded the transcripts to identify themes of interest. Results We included 21 residents. We identified eight themes related to screen-sharing. We identified opportunities, facilitators and barriers, and outcomes related to screen-sharing. We conceptualized the outcomes, facilitators, and barriers as falling into four categories: structural, patient based, physician based, and interactional. Conclusion Wider dissemination and adoption of curricula designed to teach residents how to incorporate EHR into the clinical encounter is needed. In addition, our study demonstrates the need to focus this training, at least in part, on screen-sharing and management of sensitive information disclosure.
KW - Electronic health records
KW - Internal medicine
KW - Internship and residency
KW - Medical education
KW - Patient–provider communication
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U2 - 10.4338/ACI-17-0057-RA
DO - 10.4338/ACI-17-0057-RA
M3 - Article
C2 - 29241252
AN - SCOPUS:85052570412
VL - 8
SP - 1153
EP - 1158
JO - Applied Clinical Informatics
JF - Applied Clinical Informatics
IS - 4
ER -