Transcript The Electronic Medical Record: A Tool for Teaching

The Electronic Medical Record:
A Tool for Teaching
Nancy B. Clark, M.Ed.
Director of Medical Informatics Education,
FSU College of Medicine
For GRIPE Annual Meeting, 1/23/2003
Goals for this session
 AAMC Informatics Objectives
 Selecting the EMR
 Using the EMR in the CLC
 Educational objectives
 Hands on Experience
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.
AAMC MSOP
Medical School Objectives Project
 Medical informatics’ use in five major roles
played by physicians—
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Life-long Learner
Clinician
Educator/Communicator
Researcher
Manager
http://www.aamc.org/meded/msop/msop2.pdf
(June 1998)
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
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.
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
FSU Strategy
 No clinical activity – no real patients
 Clinical Learning Center - simulated patients
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History Taking
Physical Exam
Documentation?
 Electronic Medical Record System!
 Request for bids
Practice Partner
 Donated 40 user licenses
 Established in 1985
 5000+ doctors using
 30+ residency programs
 Practice based research network
 Decision Support
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Drug interactions
Drug allergy
Knowledge base links
Practice Partner
Hardware Configuration
Server
Wireless node
Client
Tablet PC
Databases
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
EMR
Using Tablet PC
EMR Educational Objectives
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Access patient information
Documentation of Progress
Chronic Disease Management
Coding
Communication
Decision Support
Patient Education Handouts
Prevention/Health Maintenance
Security and Privacy
Simulated Patient Cases
 Past Medical History
 Training site
 Social History
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 Family History
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 Lab data
 Multiple problems
 Multiple medications
 4 dimensional
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CLC
Doctoring small
groups
PBL sessions
Lecture/grand
rounds
Quality Care
Knowledge
Management
Decision Support
Clinical Information
Management
Order entry, EMR, Billing
Communications
Resources on EMRs
 Electronic Medical Records at AAFP
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http://www.aafp.org/x432.xml
 Computerization at FPnet
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http://www.aafp.org/fpnet.xml
 Computerized Medical Records
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http://www.healthcareinformatics.com/issues/2002/05_02/spotlight.p
df
Hands On Experience
Using Practice Partner EMR