How to Integrate the Electronic Health Record and Patient-Centered Communication Into the Medical Visit

A Skills-Based Approach

Pamela Duke, Richard Frankel, Shmuel Reis

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Background: Implementation of the electronic health record (EHR) has changed the dynamics of doctor-patient communication. Physicians train to use EHRs from a technical standpoint, giving only minimal attention to integrating the human dimensions of the doctor-patient relationship into the computer-accompanied medical visit. Description: This article reviews the literature and proposes a model to help clinicians, residents, and students improve physician-patient communication while using the EHR. Evaluation: We conducted a literature search on use of communication skills when interfacing with the EHR. We observed an instructional gap and developed a model using evidence-based communication skills. Conclusion: This model integrates patient-centered interview skills and aims to empower physicians to remain patient centered while effectively using EHRs. It may also serve as a template for future educational and practice interventions for use of the EHR in the examination room.

Original languageEnglish
Pages (from-to)358-365
Number of pages8
JournalTeaching and Learning in Medicine
Volume25
Issue number4
DOIs
StatePublished - Oct 2013

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Electronic Health Records
Communication
electronics
communication
physician
health
communication skills
Physicians
resident
examination
Interviews
Students
interview
evaluation
evidence
student
literature

Keywords

  • electronic health record
  • electronic medical record
  • patient-centered care
  • patient-doctor communication
  • patient-doctor-computer communication
  • relation- ship-centered care

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

How to Integrate the Electronic Health Record and Patient-Centered Communication Into the Medical Visit : A Skills-Based Approach. / Duke, Pamela; Frankel, Richard; Reis, Shmuel.

In: Teaching and Learning in Medicine, Vol. 25, No. 4, 10.2013, p. 358-365.

Research output: Contribution to journalArticle

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