Navigating Through Electronic Health Records: Survey Study on Medical Students’ Perspectives in General and With Regard to a Specific Training

Background An electronic health record (EHR) is the state-of-the-art method for ensuring all data concerning a given patient are up to date for use by multidisciplinary hospital teams. Therefore, medical students need to be trained to use health information technologies within this environment from the early stages of their education. Objective As little is known about the effects of specific training within the medical curriculum, this study aimed to develop a course module and evaluate it to offer best practice teaching for today’s students. Moreover, we looked at the acceptance of new technologies such as EHRs. Methods Fifth-year medical students (N=104) at the University of Tübingen took part in a standardized two-day training procedure about the advantages and risks of EHR use. After the training, students performed their own EHR entries on hypothetical patient cases in a safe practice environment. In addition, questionnaires—standardized and with open-ended questions—were administered to assess students’ experiences with a new teaching module, a newly developed EHR simulator, the acceptance of the health technology, and their attitudes toward it before and after training. Results After the teaching, students rated the benefit of EHR training for medical knowledge significantly higher than before the session (mean 3.74, SD 1.05). However, they also had doubts about the long-term benefit of EHRs for multidisciplinary coworking after training (mean 1.96, SD 0.65). The special training with simulation software was rated as helpful for preparing students (88/102, 86.2%), but they still did not feel safe in all aspects of EHR. Conclusions A specific simulated training on using EHRs helped students improve their knowledge and become more aware of the risks and challenges of such a system. Overall, students welcomed the new training module and supported the integration of EHR teaching into the medical curriculum. Further studies are needed to optimize training modules and make use of long-term feedback opportunities a simulated system offers.

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Navigating Through Electronic Health Records: Survey Study on Medical Students’ Perspectives in General and With Regard to a Specific Training (Preprint)

10.2196/preprints.12648 ◽

2018 ◽

Author(s):

Anne Herrmann-Werner ◽

Martin Holderried ◽

Teresa Loda ◽

Nisar Malek ◽

Stephan Zipfel ◽

...

Keyword(s):

Medical Students ◽

Information Technologies ◽

New Technologies ◽

Medical Curriculum ◽

Simulation Software ◽

Survey Study ◽

Training Procedure ◽

Specific Training ◽

Electronic Health

BACKGROUND An electronic health record (EHR) is the state-of-the-art method for ensuring all data concerning a given patient are up to date for use by multidisciplinary hospital teams. Therefore, medical students need to be trained to use health information technologies within this environment from the early stages of their education. OBJECTIVE As little is known about the effects of specific training within the medical curriculum, this study aimed to develop a course module and evaluate it to offer best practice teaching for today’s students. Moreover, we looked at the acceptance of new technologies such as EHRs. METHODS Fifth-year medical students (N=104) at the University of Tübingen took part in a standardized two-day training procedure about the advantages and risks of EHR use. After the training, students performed their own EHR entries on hypothetical patient cases in a safe practice environment. In addition, questionnaires—standardized and with open-ended questions—were administered to assess students’ experiences with a new teaching module, a newly developed EHR simulator, the acceptance of the health technology, and their attitudes toward it before and after training. RESULTS After the teaching, students rated the benefit of EHR training for medical knowledge significantly higher than before the session (mean 3.74, SD 1.05). However, they also had doubts about the long-term benefit of EHRs for multidisciplinary coworking after training (mean 1.96, SD 0.65). The special training with simulation software was rated as helpful for preparing students (88/102, 86.2%), but they still did not feel safe in all aspects of EHR. CONCLUSIONS A specific simulated training on using EHRs helped students improve their knowledge and become more aware of the risks and challenges of such a system. Overall, students welcomed the new training module and supported the integration of EHR teaching into the medical curriculum. Further studies are needed to optimize training modules and make use of long-term feedback opportunities a simulated system offers.

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Self-Perceptions of Readiness to Use Electronic Health Records Among Medical Students: Survey Study (Preprint)

10.2196/preprints.17585 ◽

2019 ◽

Author(s):

Lina Lander ◽

Sally L Baxter ◽

Gary L Cochran ◽

Helena E Gali ◽

Kristen Cook ◽

...

Keyword(s):

Medical Students ◽

Electronic Health Records ◽

The United States ◽

Comfort Level ◽

Survey Study ◽

Health Records ◽

Experiential Training ◽

Equal Distribution ◽

Electronic Health ◽

The Impact

BACKGROUND Although several national organizations have declared the ability to work with electronic health records (EHRs) as a core competency of medical education, EHR education and use among medical students vary widely. Previous studies have reported EHR tasks performed by medical students, but students’ self-perceived readiness and comfort with EHRs are relatively unknown. OBJECTIVE This study aimed to better understand medical students’ self-perceived readiness to use EHRs to identify potential curricular gaps and inform future training efforts based on students’ perspectives. METHODS The authors deployed a survey investigating self-perceived comfort with EHRs at 2 institutions in the United States in May 2019. Descriptive statistics were generated regarding demographics, comfort level with various EHR-related tasks, and cross-institutional comparisons. We also assessed the impact of extracurricular EHR experience on comfort level. RESULTS In total, 147 medical students responded, of which 80 (54.4%) were female, with equal distribution across all 4 years of training. Overall confidence was generally higher for students with longer extracurricular EHR experience, even when adjusted for age, gender, year of training, and institution. Students were most comfortable with tasks related to looking up information in the EHR and felt less comfortable with tasks related to entering new information and managing medications. Fourth-year students at both schools reported similar levels of comfort with EHR use, despite differences in preclinical EHR training. Open-ended comments emphasized the value of experiential training over didactic formats. CONCLUSIONS Information entry and medication management in the EHR represent areas for future curricular development. Experiential training via extracurricular activities and early clinical exposure may be high-yield approaches to help medical students achieve critical EHR competencies.

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Self-Perceptions of Readiness to Use Electronic Health Records Among Medical Students: Survey Study

JMIR Medical Education ◽

10.2196/17585 ◽

2020 ◽

Vol 6 (1) ◽

pp. e17585 ◽

Cited By ~ 1

Author(s):

Lina Lander ◽

Sally L Baxter ◽

Gary L Cochran ◽

Helena E Gali ◽

Kristen Cook ◽

...

Keyword(s):

Medical Students ◽

Electronic Health Records ◽

The United States ◽

Comfort Level ◽

Survey Study ◽

Health Records ◽

Experiential Training ◽

Equal Distribution ◽

Electronic Health ◽

The Impact

Background Although several national organizations have declared the ability to work with electronic health records (EHRs) as a core competency of medical education, EHR education and use among medical students vary widely. Previous studies have reported EHR tasks performed by medical students, but students’ self-perceived readiness and comfort with EHRs are relatively unknown. Objective This study aimed to better understand medical students’ self-perceived readiness to use EHRs to identify potential curricular gaps and inform future training efforts based on students’ perspectives. Methods The authors deployed a survey investigating self-perceived comfort with EHRs at 2 institutions in the United States in May 2019. Descriptive statistics were generated regarding demographics, comfort level with various EHR-related tasks, and cross-institutional comparisons. We also assessed the impact of extracurricular EHR experience on comfort level. Results In total, 147 medical students responded, of which 80 (54.4%) were female, with equal distribution across all 4 years of training. Overall confidence was generally higher for students with longer extracurricular EHR experience, even when adjusted for age, gender, year of training, and institution. Students were most comfortable with tasks related to looking up information in the EHR and felt less comfortable with tasks related to entering new information and managing medications. Fourth-year students at both schools reported similar levels of comfort with EHR use, despite differences in preclinical EHR training. Open-ended comments emphasized the value of experiential training over didactic formats. Conclusions Information entry and medication management in the EHR represent areas for future curricular development. Experiential training via extracurricular activities and early clinical exposure may be high-yield approaches to help medical students achieve critical EHR competencies.

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Web Based Distance Learning at Faculty of Medicine of Sarajevo University

Bosnian Journal of Basic Medical Sciences ◽

10.17305/bjbms.2006.3178 ◽

2006 ◽

Vol 6 (2) ◽

pp. 71-75

Author(s):

Izet Mašić ◽

Ahmed Novo ◽

Mensura Kudumović ◽

Admir Rama ◽

Almir Džananović ◽

...

Keyword(s):

Distance Learning ◽

Medical Informatics ◽

Information Technologies ◽

New Technologies ◽

Medical Curriculum ◽

Pilot Project ◽

Medical Faculty ◽

Teaching Staff ◽

Web Based ◽

Science And Education

The time in which we live is defined by the significant influence of the information technologies on our lives, changes and development of society and the efficacy of all the organization systems. Increase and development of distance learning (DL) technologies over the past decade has exposed the potential and the efficiency of new technologies. Number of events has organized by teaching staff from Cathedrae for Medical Informatics in order to promote distance learning and web based education are very extensive: professional-scientific events, workshops and congresses, first tele-exam at the Medical Faculty, Introducing of Distance learning in curriculum at biomedical faculties, etc. At the University in Sarajevo in year 2003 was opened the e-learning center for the support to the faculties the distance studies by use of the information technology. At Medical Faculty of University of Sarajevo at Cathedrae for Medical Informatics since 2002 is in progress realization of the project named: "Possibilities of introducing distance learning in medical curriculum", approved by the Federal and the Cantonal ministry of science and education. Pilot project was realized during three past school years, theoretical and practical education of subject Medical informatics are adapted to the new concepts of education using world trends of education from the distance. One group of students was included in the project finalized by electronic exam registration and electronic exam on 20 June 2005, publicly, in the Physiology amphitheatre of the Medical Faculty in Sarajevo.

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1695 Undergraduate Cardiothoracic Surgery: Pumping Up Knowledge and Inspiration with High-Fidelity Simulation

British Journal of Surgery ◽

10.1093/bjs/znab259.921 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

J Hirniak ◽

F Hussein ◽

G Seyedzenouzi ◽

S Adil ◽

M Vaghela ◽

...

Keyword(s):

Medical Students ◽

Medical Curriculum ◽

Knowledge Retention ◽

Cardiothoracic Surgery ◽

High Fidelity ◽

Undergraduate Medical Students ◽

Surgical Equipment ◽

Sustained Improvement ◽

Post Test

Abstract Introduction Alongside declining ST3 applications, cardiothoracic surgery (CTS) is underrepresented in the medical curriculum with 90% of medical students reporting no exposure to the specialty in medical school placements. This may result in clinicians having difficulties recognising emergency presentations, with subsequent referrals made inappropriately. Method A simulation course involving teaching around common CTS conditions and procedures was delivered by CTS trainees to undergraduate medical students (n = 50). This involved both theory and high-fidelity simulations of coronary anastomoses using cardiac surgical equipment on porcine hearts and ureters. Delegates were given pre and post-test questionnaires, and another at six-weeks to test knowledge retention. Results were statistically analysed using paired and independent sample t-tests. Results Delegates demonstrated significant improvements in post-test knowledge of 56% (p<0.01), and sustained improvement of 51% (p<0.01) six-weeks later compared to baseline. 64% of delegates reported an increased interest in pursuing CTS as a career; 40% reported improved confidence performing a coronary anastomosis. Conclusions Immediate and long-term knowledge retention of key CTS concepts and ability to assess common CTS pathological scenarios were demonstrated in this study. CTS simulation therefore represents an effective mechanism by which key concepts can be taught to undergraduate medical students, whilst enhancing interest in pursuing CTS as a career. As an educational adjunct, simulation can help bridge the gap between taught theory and applied practice, with the potential to empower future doctors to make more informed referrals and management decisions.

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Improvement of the Russian System of Staff Training in the Conditions of Robotic Technology Development

Vestnik Volgogradskogo gosudarstvennogo universiteta Serija 3 Ekonomika Ekologija ◽

10.15688/jvolsu3.2019.1.8 ◽

2019 ◽

pp. 83-91

Author(s):

Aleksey Stepanov

Keyword(s):

Labor Market ◽

Staff Training ◽

Professional Education ◽

Information Technologies ◽

New Technologies ◽

Technology Development ◽

Training System ◽

Current Trends ◽

Modern Manufacturing

The main resource of modern manufacturing, agricultural, construction, transport enterprises and also the companies connected with information technologies is their staff. The level of staff training corresponding to the current trends in technology and technologies development, directly defines the level of relevant production industry development and national economy in general. The development of robotics and the roboti technologies in modern economy has a significant impact on change of the enterprises requirement in human resources and also on change of employers’ requirements to professional competences of staff. In the long term, labor market will impose increased requirements to staff on possession of professional competences, on interaction with robotics in a workplace, including the ability to control the equipment, to carry out monitoring of production operations observance and be able to adapt to changes in production process taking into account functionality of robotics. According to various research and polls, the modern system of staff training does not provide the study of such professional competences. In the long term, it can result in discrepancy of the young specialists’ competence that completed training in the programs of secondary professional education, and forming the offer in labor market, to those requirements which are imposed from employers. In these conditions transformation of the staff training system which will be focused, first of all, on the formation of those competences which will allow young specialists not only to use the available equipment, but to have an opportunity to master new technologies. The paper outlines the problem of incompliance of the level of young specialists training and the current trends of robotics development on the basis of statistical data and results of the available research.

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Thinking Beyond Language: Intervention for Severe Aphasia

Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders ◽

10.1044/nnsld19.1.15 ◽

2009 ◽

Vol 19 (1) ◽

pp. 15-22 ◽

Cited By ~ 3

Author(s):

Nina Simmons-Mackie

Keyword(s):

Quality Of Life ◽

Communication Training ◽

Language Intervention ◽

Specific Training ◽

Environmental Support ◽

Total Communication ◽

Communication Partners

Abstract Purpose: This article addresses several intervention approaches that aim to improve life for individuals with severe aphasia. Because severe aphasia significantly compromises language, often for the long term, recommended approaches focus on additional domains that affect quality of life. Treatments are discussed that involve increasing participation in personally relevant life situations, enhancing environmental support for communication and participation, and improving communicative confidence. Methods: Interventions that have been suggested in the aphasia literature as particularly appropriate for people with severe aphasia include training in total communication, training of communication partners, and activity specific training. Conclusion: Several intervention approaches can be implemented to enhance life with severe aphasia.

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On Introducing New Information Technologies in Jurisprudence

Rossijskoe Pravo. Obrazovanie, Praktika, Nauka ◽

10.34076/2410-2709-2019-3-82-86 ◽

2019 ◽

pp. 82-86

Author(s):

Aleksandr Mitin

Keyword(s):

Information Technologies ◽

New Technologies ◽

Professional Competence ◽

Comprehensive Analysis ◽

Legal Services ◽

Degree Programs ◽

Creative Work ◽

Electronic Trading ◽

New Information ◽

Legal Space

The article discusses the possibilities of automation of legal activities. Special attention is paid to the new branch of the business LegalTech, which allows providing legal services using information technology. Some projects in this area are briefly described: FreshDoc document designer, VideoContract app, and electronic trading platforms such as Legal Space and Pravoved.Ru. Although the legal community is not quite ready to work in such conditions, higher education institutions are already reforming their curricula, developing disciplines that allow gaining professional competence in introducing technologies that automate legal work, and so on. The author, in turn, offers using chat bots in legal clinics, gives examples of new disciplines for master’s degree programs, considers the idea of passing final examinations outside universities in certification centers, etc. It is emphasized that in jurisprudence there are a lot of typical situations in which typical decisions need to be made, and here artificial intelligence will be a good helper, and scientists will have more time to undertake a comprehensive analysis of law. Thus, even with the advent of new technologies, the creative work of lawyers will always be in demand.

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Online Publication of Monuments

The Oxford Handbook of Egyptian Epigraphy and Paleography ◽

10.1093/oxfordhb/9780190604653.013.24 ◽

2020 ◽

pp. 355-369

Author(s):

Willeke Wendrich

Keyword(s):

Peer Review ◽

3D Modeling ◽

Online Publication ◽

New Technologies ◽

3D Scanning ◽

Architectural Drawings ◽

3D Gis ◽

Unity 3D ◽

Long Term Preservation

This chapter outlines the advantages of digital epigraphy in the context of the original monuments. It analyzes the perception of epigraphic publication of monuments, taking into account new technologies. 3DVR models can be created using architectural drawings and measurements (CAD and 3D modeling), 3D scanning, and Structure for Motion (SfM). These systems present different advantages and challenges, which are discussed. Current options for publication include VSim, 3D GIS, and Unity 3D platforms. The issues of peer review of publications and long-term preservation of data are addressed. The chapter concludes with a consideration of the issue of potentially misleading impressions given by 3DVR representations.

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