The impact of residents' training in Electronic Medical Record (EMR) use on their competence: Report of a pragmatic trial

Shmuel Reis, Doron Sagi*, Orit Eisenberg, Yosi Kuchnir, Joseph Azuri, Varda Shalev, Amitai Ziv

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Objectives: Even though Electronic Medical Records (EMRs) are increasingly used in healthcare organizations there is surprisingly little theoretical work or educational programs in this field. This study is aimed at comparing two training programs for doctor-patient-computer communication (DPCC). Methods: 36 Family Medicine Residents (FMRs) participated in this study. All FMRs went through twelve identical simulated encounters, six pre and six post training. The experiment group received simulation based training (SBT) while the control group received traditional lecture based training. Results: Performance, attitude and sense of competence of all FMRs improved, but no difference was found between the experiment and control groups. FMRs from the experiment group evaluated the contribution of the training phase higher than control group, and showed higher satisfaction. Conclusion: We assume that the mere exposure to simulation served as a learning experience and enabled deliberate practice that was more powerful than training. Because DPCC is a new field, all participants in such studies, including instructors and raters, should receive basic training of DPCC skills. Practice implication: Simulation enhances DPCC skills. Future studies of this kind should control the exposure to simulation prior to the training phase. Training and assessment of clinical communication should include EMR related skills.

Original languageAmerican English
Pages (from-to)515-521
Number of pages7
JournalPatient Education and Counseling
Issue number3
StatePublished - Dec 2013
Externally publishedYes

Bibliographical note

Funding Information:
This study was supported by Maccabi Healthcare Research Institute and NITE – Israel National Institute for Testing and Evaluation.


  • Doctor-patient communication
  • Doctor-patient-computer communication (DPCC)
  • Electronic Medical Record (EMR)
  • Medical education
  • Simulation based training (SBT)


Dive into the research topics of 'The impact of residents' training in Electronic Medical Record (EMR) use on their competence: Report of a pragmatic trial'. Together they form a unique fingerprint.

Cite this