How to Integrate the Electronic Health Record and Patient-Centered Communication Into the Medical Visit: A Skills-Based Approach

Pamela Duke, Richard M. Frankel, Shmuel Reis

Research output: Contribution to journalArticle

63 Scopus citations


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 (US)
Pages (from-to)358-365
Number of pages8
JournalTeaching and Learning in Medicine
Issue number4
StatePublished - Oct 1 2013



  • 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

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