TY - GEN
T1 - A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings
AU - Shachak, Aviv
AU - Domb, Sharon
AU - Borycki, Elizabeth
AU - Fong, Nancy
AU - Skyrme, Alison
AU - Kushniruk, Andre
AU - Reis, Shmuel
AU - Ziv, Amitai
N1 - Publisher Copyright:
© 2015 IMIA and IOS Press.
PY - 2015
Y1 - 2015
N2 - We previously developed a prototype computer-based simulation to teach residents how to integrate better EMR use in the patient-physician interaction. To evaluate the prototype, we conducted usability tests with three non-clinician students, followed by a pilot study with 16 family medicine residents. The pilot study included pre- and post-test surveys of competencies and attitudes related to using the EMR in the consultation and the acceptability of the simulation, as well as 'think aloud' observations. After using the simulation prototypes, the mean scores for competencies and attitudes improved from 14.88/20 to 15.63/20 and from 22.25/30 to 23.13/30, respectively; however, only the difference for competencies was significant (paired t-test; t=-2.535, p=0.023). Mean scores for perceived usefulness and ease of use of the simulation were good (3.81 and 4.10 on a 5-point scale, respectively). Issues identified in usability testing include confusing interaction with some features, preferences for a more interactive representation of the EMR, and more options for shared decision making. In conclusion, computer-based simulation may be an effective and acceptable tool for teaching residents how to better use EMRs in clinical encounters.
AB - We previously developed a prototype computer-based simulation to teach residents how to integrate better EMR use in the patient-physician interaction. To evaluate the prototype, we conducted usability tests with three non-clinician students, followed by a pilot study with 16 family medicine residents. The pilot study included pre- and post-test surveys of competencies and attitudes related to using the EMR in the consultation and the acceptability of the simulation, as well as 'think aloud' observations. After using the simulation prototypes, the mean scores for competencies and attitudes improved from 14.88/20 to 15.63/20 and from 22.25/30 to 23.13/30, respectively; however, only the difference for competencies was significant (paired t-test; t=-2.535, p=0.023). Mean scores for perceived usefulness and ease of use of the simulation were good (3.81 and 4.10 on a 5-point scale, respectively). Issues identified in usability testing include confusing interaction with some features, preferences for a more interactive representation of the EMR, and more options for shared decision making. In conclusion, computer-based simulation may be an effective and acceptable tool for teaching residents how to better use EMRs in clinical encounters.
KW - Education
KW - Electronic Medical Record
KW - Physician-Patient Relationship
KW - Simulation-Based Training
UR - http://www.scopus.com/inward/record.url?scp=84951916348&partnerID=8YFLogxK
U2 - 10.3233/978-1-61499-564-7-506
DO - 10.3233/978-1-61499-564-7-506
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C2 - 26262102
AN - SCOPUS:84951916348
T3 - Studies in Health Technology and Informatics
SP - 506
EP - 510
BT - MEDINFO 2015
A2 - Georgiou, Andrew
A2 - Sarkar, Indra Neil
A2 - de Azevedo Marques, Paulo Mazzoncini
PB - IOS Press
T2 - 15th World Congress on Health and Biomedical Informatics, MEDINFO 2015
Y2 - 19 August 2015 through 23 August 2015
ER -
