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Electronic health care record for objective structured clinical examination stations at Philadelphia College of Osteopathic Medicine School of Pharmacy Georgia Campus during 2022-2023 academic year

Journal: American Journal of Health-System Pharmacy Date: 2025/01, 82(S1):Pages: S1901. doi: Subito , type of study: longitudinal study

Full text    (https://academic.oup.com/ajhp/article/82/Supplement_1/S1/7945688)

Keywords:

clinical examination [3]
clinical reasoning [79]
communication [88]
conference abstract [121]
diagnosis [394]
electronic health record [2]
interpersonal skills [1]
longitudinal study [36]
medical students [647]
osteopathic medicine [2025]
pharmacy [8]
USA [1656]

Abstract:

Purpose: The ability to utilize the electronic health records (EHRs) while student pharmacists practice patient care is an essential skill. Based on the study conducted at Philadelphia College of Pharmacy, the utilization of electronic health records (EHRs) helped the students' perception of preparedness for clinical practice. The aim of this study is to evaluate students' proficiency in using the Electronic Health Record (EHR) during patient encounters. Secondary objectives include assessing students' preparedness and confidence in utilizing the EHR during Objective Structured Clinical Examinations (OSCEs) Methods: This longitudinal study follows the OSCE grades of second and third year pharmacy students in the following EHR competencies: effective communication, professional conduct, clinical expertise/patient- centered care, and evidenced-based pharmacy practice (EBPP). Second-and third-year pharmacy students were granted full access to the simulated patient chart within the EHR Go program prior to the exercise. During an in-person Objective Structured Clinical Examination (OSCE) with a standardized patient (SP), students reviewed the EHR to address the SP's concerns, shared their evaluations with the SP, and provided appropriate counseling. Students then completed an electronic patient note, which was graded by faculty. SPs assessed students' communication and interpersonal skills using a detailed rubric, while faculty evaluated the students' notes to assess their clinical reasoning in the assessment and plan. Results: For PY2 and PY3 cases, there is no significant difference between the grade distributions while each case for PY2 and PY3 are independent of each other. Conclusion: A systematic technique for evaluating students' EHR performance during a patient's interactions was made attainable by the EHR OSCE station. To ascertain student readiness and confidence in utilizing EHR during Objective organized clinical assessments, a large-scale study is necessary because of the feasibility study's small sample size.


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