Stanford Medical School study<\/a>, which found third- and fourth-year medical students use EHRs 3.5 hours each day during rotations, Leander asks: \u201cHow do medical students go from not using this complex system to being expected to use it well everyday?\u201d<\/p>\nInspired by Geisel\u2019s On Doctoring program\u2014a two-year course dedicated to the role of the physician in both the clinical setting and in the community\u2014and the problem-based learning format of the first- and second-year curriculum, Leander sees an opportunity to translate the clinical information medical students receive as a PDF into an EHR. \u201cIt will not be given to us nice and neat in a PDF in the future. Why not just put it there now? We should begin using the EHR format during our first- and second-years rather than waiting.\u201d<\/p>\n
Earlier this summer, Leander met with the On Doctoring course directors to discuss his idea and to devise first steps in moving his project forward. \u201cI have a faculty mentor, Dr. Todd Morrell, an emergency medicine physician at Dartmouth-Hitchcock who also works on EHRs there,\u201d Leander says. \u201cOur first project is to take the clinical write-up we do in On Doctoring, which is now in Microsoft Word, and do it in Epic with simulated patients\u2014we\u2019ll log in, find our patients, and write-up the clinical evaluation. This will teach first- and second-year students how to use this at a base level.\u201d Epic is an EHR software widely-used by health-care systems.<\/p>\n
As an aspiring physician, Leander appreciates the Medicine X philosophy\u2014everyone is included\u2014which means there is a high level of patient participation at the conference. With more than 20 percent patient participation, Medicine X exceeds most academic medical conferences, which average less than five-percent patient participation.<\/p>\n
\u201cThere were patients, tech people, and health-care providers creating a great synthesis,\u201d he says. \u201cIt was very diverse in that sense; everything was focused around the co-creation of health care\u2014there was less sense of a hierarchy and more of an attitude that we are all working together. I really liked that.\u201d<\/p>\n
Leander says he enjoyed meeting other conference participants, and was delighted to further share his ideas, particularly with a group of interested Australians, \u201cwho approached me after my talk to find out more about EHRs.\u201d Australia\u2019s use of EHRs is in an early stage of integration.<\/p>\n
He credits the Geisel community for helping him move both his project and presentation forward. \u201cFaculty has been so supportive of this process. Dr. Sirovich was very positive and open from the beginning about my MaD idea and how to move it forward. She also helped me fine-tune my Medicine X presentation,\u201d Leander says. \u201cThe On Doctoring faculty has also been open to implementing my idea. That\u2019s part of being at Geisel\u2014we are a small community that is open to new ideas.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
Using the skills he honed during his first year at Geisel, David Leander \u201919, made the case for integrating simulated electronic health records into medical education during Stanford Medical School\u2019s Medicine X conference.<\/p>\n","protected":false},"author":12,"featured_media":7469,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":true,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[9,679,1],"tags":[684,772,409],"class_list":["post-7467","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-education","category-insider","category-news","tag-conference","tag-electronic-health-records","tag-medical-student","author-12"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-content\/uploads\/sites\/2\/2016\/10\/David-MedX2.jpg","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p4r3h1-1Wr","_links":{"self":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/7467","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/comments?post=7467"}],"version-history":[{"count":4,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/7467\/revisions"}],"predecessor-version":[{"id":9369,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/7467\/revisions\/9369"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/media\/7469"}],"wp:attachment":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/media?parent=7467"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/categories?post=7467"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/tags?post=7467"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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