A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings

Aviv Shachak; Sharon Domb; Elizabeth Borycki; Nancy Fong; Alison Skyrme; Andre Kushniruk; Shmuel Reis; Amitai Ziv

doi:10.3233/978-1-61499-564-7-506

A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings

Aviv Shachak^*, Sharon Domb, Elizabeth Borycki, Nancy Fong, Alison Skyrme, Andre Kushniruk, Shmuel Reis, Amitai Ziv

^*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

17 Scopus citations

Abstract

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.

Original language	English
Title of host publication	MEDINFO 2015
Subtitle of host publication	eHealth-Enabled Health - Proceedings of the 15th World Congress on Health and Biomedical Informatics
Editors	Andrew Georgiou, Indra Neil Sarkar, Paulo Mazzoncini de Azevedo Marques
Publisher	IOS Press
Pages	506-510
Number of pages	5
ISBN (Electronic)	9781614995630
DOIs	https://doi.org/10.3233/978-1-61499-564-7-506
State	Published - 2015
Externally published	Yes
Event	15th World Congress on Health and Biomedical Informatics, MEDINFO 2015 - Sao Paulo, Brazil Duration: 19 Aug 2015 → 23 Aug 2015

Publication series

Name	Studies in Health Technology and Informatics
Volume	216
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	15th World Congress on Health and Biomedical Informatics, MEDINFO 2015
Country/Territory	Brazil
City	Sao Paulo
Period	19/08/15 → 23/08/15

Bibliographical note

Publisher Copyright:
© 2015 IMIA and IOS Press.

Keywords

Education
Electronic Medical Record
Physician-Patient Relationship
Simulation-Based Training

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.3233/978-1-61499-564-7-506

Cite this

Shachak, A., Domb, S., Borycki, E., Fong, N., Skyrme, A., Kushniruk, A., Reis, S., & Ziv, A. (2015). A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings. In A. Georgiou, I. N. Sarkar, & P. M. de Azevedo Marques (Eds.), MEDINFO 2015: eHealth-Enabled Health - Proceedings of the 15th World Congress on Health and Biomedical Informatics (pp. 506-510). (Studies in Health Technology and Informatics; Vol. 216). IOS Press. https://doi.org/10.3233/978-1-61499-564-7-506

Shachak, Aviv ; Domb, Sharon ; Borycki, Elizabeth et al. / A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings. MEDINFO 2015: eHealth-Enabled Health - Proceedings of the 15th World Congress on Health and Biomedical Informatics. editor / Andrew Georgiou ; Indra Neil Sarkar ; Paulo Mazzoncini de Azevedo Marques. IOS Press, 2015. pp. 506-510 (Studies in Health Technology and Informatics).

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Shachak, A, Domb, S, Borycki, E, Fong, N, Skyrme, A, Kushniruk, A, Reis, S & Ziv, A 2015, A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings. in A Georgiou, IN Sarkar & PM de Azevedo Marques (eds), MEDINFO 2015: eHealth-Enabled Health - Proceedings of the 15th World Congress on Health and Biomedical Informatics. Studies in Health Technology and Informatics, vol. 216, IOS Press, pp. 506-510, 15th World Congress on Health and Biomedical Informatics, MEDINFO 2015, Sao Paulo, Brazil, 19/08/15. https://doi.org/10.3233/978-1-61499-564-7-506

A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings. / Shachak, Aviv; Domb, Sharon; Borycki, Elizabeth et al.
MEDINFO 2015: eHealth-Enabled Health - Proceedings of the 15th World Congress on Health and Biomedical Informatics. ed. / Andrew Georgiou; Indra Neil Sarkar; Paulo Mazzoncini de Azevedo Marques. IOS Press, 2015. p. 506-510 (Studies in Health Technology and Informatics; Vol. 216).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

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AU - Kushniruk, Andre

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Shachak A, Domb S, Borycki E, Fong N, Skyrme A, Kushniruk A et al. A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings. In Georgiou A, Sarkar IN, de Azevedo Marques PM, editors, MEDINFO 2015: eHealth-Enabled Health - Proceedings of the 15th World Congress on Health and Biomedical Informatics. IOS Press. 2015. p. 506-510. (Studies in Health Technology and Informatics). doi: 10.3233/978-1-61499-564-7-506

A Pilot Study of Computer-Based Simulation Training for Enhancing Family Medicine Residents' Competence in Computerized Settings

Abstract

Publication series

Conference

Bibliographical note

Keywords

UN SDGs

Access to Document

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Cite this