Research Letter
February 2016

Internal Medicine Resident Computer UsageAn Electronic Audit of an Inpatient Service

Author Affiliations
  • 1Department of Internal Medicine, Stanford University School of Medicine, Stanford, California
  • 2Center for Innovation to Implementation (Ci2i), Veterans Affairs Palo Alto Health Care System, Palo Alto, California

Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Intern Med. 2016;176(2):252-254. doi:10.1001/jamainternmed.2015.6831

In addition to direct patient contact, residents are responsible for communication, order entry, data review, and documentation. With more patient care being facilitated through computers today, there is increasing concern that little time remains for direct patient contact and education.1 Electronic health record (EHR) audit reports can provide granular information about workflows, and are being increasingly used to investigate trainee practices.2 Herein, we examine resident behavior on an inpatient general medicine service to describe how trainees use the EHR system as residents balance education and patient care.

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