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August 13, 2012

Do students' notes count?

Students have to learn to use Electronic Health Records (and I assume they are better at learning this stuff than the doctors who are training them.

I've heard other people talk about whether students should be allowed to enter notes into a patient's EHR and whether it should be flagged as a student note in the record. Certainly students' notes are not a reliable as more senior clinicians; that's demonstrable. But 1) not all students' notes are unreliable and 2) flagging students' notes casts a wide (and oddly quality-blind) net over suspicious EHR entries.

This seems like an important research topic since USMLE 2 now requires post-encounter notes; students are learning this stuff and should be assessed. Where better to assess them than in the clinic and how easier to do it than through EHRs?

Posted by rbrent at August 13, 2012 07:49 AM


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