Introduction

As use of electronic medical records (EMRs) increases in healthcare, multiple accreditation organizations recommend training future clinicians on EMRs as part of the academic curriculum. Therefore, some pharmacy programs now utilize an academic EMR. Our objective was to examine pharmacy instructors' early experiences with a commercially available teaching EMR (tEMR) in order to identify current and future priorities along with benefits and barriers to academic EMR use in pharmacy education.

Methods

We conducted semi-structured interviews and a web-based survey with pharmacy instructors. Interview and survey data analyses consisted of hybrid inductive/deductive approaches to coding data and descriptive statistics, respectively. We mapped themes to the Pharmacists' Patient Care Process (PPCP).

Results

Seven instructors participated in interviews, and 10 completed the survey. We identified 25 interview themes that were generally congruent with survey responses. A noted benefit of the tEMR was providing a large repository of real-life patient data. Instructors' current priorities for tEMR activities primarily aligned with “collect,” “assess,” and “plan” steps of the PPCP. One reported barrier was insufficient training regarding the tEMR capabilities. Instructors offered innovative ideas for future academic EMR use, including pharmacokinetics, incident reporting, and longitudinal cases.

Conclusions

Study findings are most applicable to pharmacy programs in the early stages of academic EMR adoption. We identified opportunities for pharmacy programs to facilitate innovative, future use of academic EMRs, including curriculum planning, so pharmacy students gain experience using EMR functions for each PPCP step and develop more advanced EMR skills.

中文翻译：

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药学教师早期使用电子病历教学经验的混合方法研究

介绍

随着电子病历 (EMR) 在医疗保健中的使用增加，多个认证组织建议将 EMR 培训未来的临床医生作为学术课程的一部分。因此，一些药学课程现在使用学术 EMR。我们的目标是检查药学教师早期使用商用教学 EMR (tEMR) 的经验，以确定当前和未来的优先事项以及药学教育中学术 EMR 使用的好处和障碍。

方法

我们与药学讲师进行了半结构化访谈和基于网络的调查。访谈和调查数据分析分别包括对编码数据和描述性统计的混合归纳/演绎方法。我们将主题映射到药剂师的患者护理流程 (PPCP)。

结果

7 名教师参加了访谈，10 名完成了调查。我们确定了 25 个采访主题，这些主题与调查反馈大体一致。tEMR 的一个显着优势是提供了大量真实患者数据的存储库。教师当前 tEMR 活动的优先事项主要与 PPCP 的“收集”、“评估”和“计划”步骤一致。一个报告的障碍是关于 tEMR 能力的培训不足。讲师为未来学术 EMR 的使用提供了创新的想法，包括药代动力学、事件报告和纵向案例。

结论

研究结果最适用于学术 EMR 采用早期阶段的药学项目。我们确定了药学项目的机会，以促进学术 EMR 的创新、未来使用，包括课程规划，以便药学学生在每个 PPCP 步骤中获得使用 EMR 功能的经验，并开发更高级的 EMR 技能。