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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. AAMC Informatics Objectives Selecting the EMR Using the EMR in the CLC Educational objectives

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The Electronic Medical Record: A Tool for Teaching

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  1. 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

  2. AAMC Informatics Objectives Selecting the EMR Using the EMR in the CLC Educational objectives Hands on Experience Goals for this session

  3. 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.

  4. AAMC MSOPMedical School Objectives Project • Medical informatics’ use in five major roles played by physicians— • Life-long Learner • Clinician • Educator/Communicator • Researcher • Manager http://www.aamc.org/meded/msop/msop2.pdf(June 1998)

  5. 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

  6. 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.

  7. 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

  8. FSU Strategy • No clinical activity – no real patients • Clinical Learning Center - simulated patients • History Taking • Physical Exam • Documentation? • Electronic Medical Record System! • Request for bids

  9. Practice Partner Donated 40 user licenses Established in 1985 5000+ doctors using 30+ residency programs Practice based research network Decision Support Drug interactions Drug allergy Knowledge base links

  10. Practice Partner

  11. Hardware Configuration Server Wireless node Client Tablet PC Databases

  12. 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

  13. EMR

  14. Using Tablet PC

  15. EMR Educational Objectives • Access patient information • Documentation of Progress • Chronic Disease Management • Coding • Communication • Decision Support • Patient Education Handouts • Prevention/Health Maintenance • Security and Privacy

  16. Past Medical History Social History Family History Lab data Multiple problems Multiple medications 4 dimensional Training site CLC Doctoring small groups PBL sessions Lecture/grand rounds Simulated Patient Cases

  17. Quality Care Knowledge Management Clinical InformationManagement Order entry, EMR, Billing Decision Support Communications

  18. Resources on EMRs • Electronic Medical Records at AAFP • http://www.aafp.org/x432.xml • Computerization at FPnet • http://www.aafp.org/fpnet.xml • Computerized Medical Records • http://www.healthcare-informatics.com/issues/2002/05_02/spotlight.pdf

  19. Hands On Experience Using Practice Partner EMR

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