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After training, they were less likely to consider EHR to be a barrier to the physician-patient relationship, and felt more comfortable using the EHR. Participants used EHR in about 30% of consultations. Seventeen out of 27 residents took part in the study. Changes in practice were measured pre and post intervention using the Roter interaction analysis system (RIAS) and EHR specific items. Outcomes were: 1) residents’ perceptions regarding the use of EHR, measured through a self-administered questionnaire and 2) objective use of the EHR during the first 10 min of patient encounters. Residents were invited to attend a 3-month training course that included 2 large group sessions and 2–4 individualized coaching sessions based on videotaped encounters. We conducted a pre-post intervention study at the Primary Care Division of the Geneva University Hospitals, Switzerland.
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The aim of this study was to assess the impact of training on residents’ EHR-related communication skills and explore whether they varied according to the content of the consultation. However, the impact of training to improve EHR use during clinical encounters is not well known. Because its use can negatively impact the physician-patient relationship, several recommendations on the “patient-centered” use of the EHR have been published.
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The Electronic Health Record (EHR) is now widely used in clinical encounters.