Accepted Type
Facilitated and Dedicated Poster
Code
P1 - 04
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Other
Presenter Other
Faculty more than 5 yrs
Affiliation
Considered for Poster
yes
Title
Assessing medical students' communication skills in using Electronic Medical Records during simulated patient encounters from the patient's perspective
Length of Presentation
Background/Purpose
Given the widespread adoption of Electronic Medical Records (EMRs) in medicine , attempts have been made by educators and policy leaders to introduce EMR education into Canadian medical school curricula. Despite efforts being made to introduce EMR learning, there is little literature related to the assessment of EMR-related competencies. As such, we have developed and piloted an objective structured clinical examination (OSCE) station aimed at assessing EMR communication competencies in medical students. This abstract reports on the feedback from standardized patients (SPs) involved in pilot.
Methods
This study was conducted at University of Ottawa as part of a third year OSCE. An EMR pilot station was developed, built in OpenLabyrinth and designed to emulate MedAccess©. Students' communication skills were assessed by Standardized Patients (SPs) and physician examiners using checklists and ratings scales. Three SPs then participated in a one-hour focus group, facilitated by one of the investigators to discuss their experiences in the pilot.
Results
Transcripts of the focus group were inductively coded by three investigators. Resulting themes included perceptions around technology (changes in technology, acceptance of technology, contrasting EMR vs. paper, age of students and patients); competency in communication (non-verbal communication, importance of communication skills, impedance/distractors of effective communication); case design (SP training, engagement, SP reluctance to evaluate students); ownership of health information (clinician-patient relationship, patient health literacy/numeracy); and charting/EMR usage.
Conclusion
Involving SPs in the OCSE assessment complicated logistics of the station. The SP perceptions around student-patient communication will be used to refine the EMR pilot station OSCE.
Keyword 1
Assessment
Keyword 2
Electronic Medical Record
Keyword 3
communication
Level of Training
Undergraduate
Abstract Themes
Assessment
Assessment
OSCE/OSPE/OSTE
Additional Theme (First choice)
Undergraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Douglas Archibald
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
