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Electronic-clinical evaluation exercise (e-CEX): A new patient-centered EHR use tool
•EHR use can detract from the patient-doctor relationship and communication.•EHR use can also promote shared decision making, education and understanding.•E-CEX is a reliable, valid tool to assess patient-centered EHR communication skills.•E-CEX can be used to provide feedback to improve EHR use wit...
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| Published in: | Patient education and counseling 2018-03, Vol.101 (3), p.481-489 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c353t-cb443fea83cfc234ae7e256bc688a25f73758c68acc320d1e528dbe0d4e8a3413 |
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| cites | cdi_FETCH-LOGICAL-c353t-cb443fea83cfc234ae7e256bc688a25f73758c68acc320d1e528dbe0d4e8a3413 |
| container_end_page | 489 |
| container_issue | 3 |
| container_start_page | 481 |
| container_title | Patient education and counseling |
| container_volume | 101 |
| creator | Alkureishi, Maria Alcocer Lee, Wei Wei Lyons, Maureen Wroblewski, Kristen Farnan, Jeanne M. Arora, Vineet M. |
| description | •EHR use can detract from the patient-doctor relationship and communication.•EHR use can also promote shared decision making, education and understanding.•E-CEX is a reliable, valid tool to assess patient-centered EHR communication skills.•E-CEX can be used to provide feedback to improve EHR use with patients.
Electronic Health Record (EHR) use can enhance or weaken patient-provider communication. Despite EHR adoption, no validated tool exists to assess EHR communication skills. We aimed to develop and validate such a tool.
Electronic-Clinical Evaluation Exercise (e-CEX) is a 10-item-tool based on systematic literature review and pilot-testing. Second-year (MS2s) students participated in an EHR-use lecture and structured Clinical Examination (OSCE). Untrained third-year students (MS3s) participated in the same OSCE. OSCEs were scored with e-CEX compared to a standardized patient (SP) tool. Internal consistency, discriminant validity, and concurrent validity were analyzed.
Three investigators used e-CEX to rate 70 videos (20 MS2, 50 MS3). Reliability testing indicated high internal consistency (Cronbach’s alpha=0.89). MS2s scored significantly higher than untrained MS3s on e-CEX [e-CEX 55(10.7) vs. 44.9 (12.7), P=0.003], providing evidence of discriminant validity. e-CEX and SP score correlation was high (Pearson correlation=0.74, P |
| doi_str_mv | 10.1016/j.pec.2017.10.005 |
| format | article |
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Electronic Health Record (EHR) use can enhance or weaken patient-provider communication. Despite EHR adoption, no validated tool exists to assess EHR communication skills. We aimed to develop and validate such a tool.
Electronic-Clinical Evaluation Exercise (e-CEX) is a 10-item-tool based on systematic literature review and pilot-testing. Second-year (MS2s) students participated in an EHR-use lecture and structured Clinical Examination (OSCE). Untrained third-year students (MS3s) participated in the same OSCE. OSCEs were scored with e-CEX compared to a standardized patient (SP) tool. Internal consistency, discriminant validity, and concurrent validity were analyzed.
Three investigators used e-CEX to rate 70 videos (20 MS2, 50 MS3). Reliability testing indicated high internal consistency (Cronbach’s alpha=0.89). MS2s scored significantly higher than untrained MS3s on e-CEX [e-CEX 55(10.7) vs. 44.9 (12.7), P=0.003], providing evidence of discriminant validity. e-CEX and SP score correlation was high (Pearson correlation=0.74, P<0.001), providing concurrent validity evidence. Item reduction suggested a three-item tool had similar explanatory power (R-squared=0.85 vs 0.86).
e-CEX is a reliable, valid tool to assess medical student patient-centered EHR communication skills.
While validation is needed with other healthcare providers, e-CEX may help improve provider behaviors and enhance patients’ overall experience of EHR use in their care.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2017.10.005</identifier><identifier>PMID: 29042145</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Clinical Competence ; Communication ; Educational Measurement ; EHR ; Electronic Health Records ; Electronic medical records ; Evaluation ; Female ; Health Records, Personal ; Humans ; Nursing ; Patient-Centered Care - methods ; Patient-provider relationship ; Professional-Patient Relations ; Reproducibility of Results ; Students, Medical - psychology</subject><ispartof>Patient education and counseling, 2018-03, Vol.101 (3), p.481-489</ispartof><rights>2017 Elsevier B.V.</rights><rights>Copyright © 2017 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-cb443fea83cfc234ae7e256bc688a25f73758c68acc320d1e528dbe0d4e8a3413</citedby><cites>FETCH-LOGICAL-c353t-cb443fea83cfc234ae7e256bc688a25f73758c68acc320d1e528dbe0d4e8a3413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29042145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alkureishi, Maria Alcocer</creatorcontrib><creatorcontrib>Lee, Wei Wei</creatorcontrib><creatorcontrib>Lyons, Maureen</creatorcontrib><creatorcontrib>Wroblewski, Kristen</creatorcontrib><creatorcontrib>Farnan, Jeanne M.</creatorcontrib><creatorcontrib>Arora, Vineet M.</creatorcontrib><title>Electronic-clinical evaluation exercise (e-CEX): A new patient-centered EHR use tool</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>•EHR use can detract from the patient-doctor relationship and communication.•EHR use can also promote shared decision making, education and understanding.•E-CEX is a reliable, valid tool to assess patient-centered EHR communication skills.•E-CEX can be used to provide feedback to improve EHR use with patients.
Electronic Health Record (EHR) use can enhance or weaken patient-provider communication. Despite EHR adoption, no validated tool exists to assess EHR communication skills. We aimed to develop and validate such a tool.
Electronic-Clinical Evaluation Exercise (e-CEX) is a 10-item-tool based on systematic literature review and pilot-testing. Second-year (MS2s) students participated in an EHR-use lecture and structured Clinical Examination (OSCE). Untrained third-year students (MS3s) participated in the same OSCE. OSCEs were scored with e-CEX compared to a standardized patient (SP) tool. Internal consistency, discriminant validity, and concurrent validity were analyzed.
Three investigators used e-CEX to rate 70 videos (20 MS2, 50 MS3). Reliability testing indicated high internal consistency (Cronbach’s alpha=0.89). MS2s scored significantly higher than untrained MS3s on e-CEX [e-CEX 55(10.7) vs. 44.9 (12.7), P=0.003], providing evidence of discriminant validity. e-CEX and SP score correlation was high (Pearson correlation=0.74, P<0.001), providing concurrent validity evidence. Item reduction suggested a three-item tool had similar explanatory power (R-squared=0.85 vs 0.86).
e-CEX is a reliable, valid tool to assess medical student patient-centered EHR communication skills.
While validation is needed with other healthcare providers, e-CEX may help improve provider behaviors and enhance patients’ overall experience of EHR use in their care.</description><subject>Clinical Competence</subject><subject>Communication</subject><subject>Educational Measurement</subject><subject>EHR</subject><subject>Electronic Health Records</subject><subject>Electronic medical records</subject><subject>Evaluation</subject><subject>Female</subject><subject>Health Records, Personal</subject><subject>Humans</subject><subject>Nursing</subject><subject>Patient-Centered Care - methods</subject><subject>Patient-provider relationship</subject><subject>Professional-Patient Relations</subject><subject>Reproducibility of Results</subject><subject>Students, Medical - psychology</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kE9Lw0AQxRdRbK1-AC-yx3pI3L9JqqdSohUKglTwtmw2E9iSJnE3qfrt3dLqURZmmNn3HswPoWtKYkpocreJOzAxIzQNc0yIPEFjmqU8kpSLUzQmKc8iPpvREbrwfkMISRJBz9GIzYhgVMgxWuc1mN61jTWRqW1ousaw0_Wge9s2GL7AGesBTyFa5O-393iOG_jEXfiGpo9MKOCgxPnyFQ9B17dtfYnOKl17uDr2CXp7zNeLZbR6eXpezFeR4ZIHbyEEr0Bn3FSGcaEhBSaTwiRZppmsUp7KLAzaGM5ISUGyrCyAlAIyzQXlEzQ95Hau_RjA92prvYG61g20g1d0Jll4KUuDlB6kxrXeO6hU5-xWu29FidrDVBsVYKo9zP0qwAyem2P8UGyh_HP80guCh4MAwpE7C055E6gYKK0LVFXZ2n_ifwDDLYPd</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Alkureishi, Maria Alcocer</creator><creator>Lee, Wei Wei</creator><creator>Lyons, Maureen</creator><creator>Wroblewski, Kristen</creator><creator>Farnan, Jeanne M.</creator><creator>Arora, Vineet M.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201803</creationdate><title>Electronic-clinical evaluation exercise (e-CEX): A new patient-centered EHR use tool</title><author>Alkureishi, Maria Alcocer ; Lee, Wei Wei ; Lyons, Maureen ; Wroblewski, Kristen ; Farnan, Jeanne M. ; Arora, Vineet M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-cb443fea83cfc234ae7e256bc688a25f73758c68acc320d1e528dbe0d4e8a3413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Clinical Competence</topic><topic>Communication</topic><topic>Educational Measurement</topic><topic>EHR</topic><topic>Electronic Health Records</topic><topic>Electronic medical records</topic><topic>Evaluation</topic><topic>Female</topic><topic>Health Records, Personal</topic><topic>Humans</topic><topic>Nursing</topic><topic>Patient-Centered Care - methods</topic><topic>Patient-provider relationship</topic><topic>Professional-Patient Relations</topic><topic>Reproducibility of Results</topic><topic>Students, Medical - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alkureishi, Maria Alcocer</creatorcontrib><creatorcontrib>Lee, Wei Wei</creatorcontrib><creatorcontrib>Lyons, Maureen</creatorcontrib><creatorcontrib>Wroblewski, Kristen</creatorcontrib><creatorcontrib>Farnan, Jeanne M.</creatorcontrib><creatorcontrib>Arora, Vineet M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alkureishi, Maria Alcocer</au><au>Lee, Wei Wei</au><au>Lyons, Maureen</au><au>Wroblewski, Kristen</au><au>Farnan, Jeanne M.</au><au>Arora, Vineet M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electronic-clinical evaluation exercise (e-CEX): A new patient-centered EHR use tool</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2018-03</date><risdate>2018</risdate><volume>101</volume><issue>3</issue><spage>481</spage><epage>489</epage><pages>481-489</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>•EHR use can detract from the patient-doctor relationship and communication.•EHR use can also promote shared decision making, education and understanding.•E-CEX is a reliable, valid tool to assess patient-centered EHR communication skills.•E-CEX can be used to provide feedback to improve EHR use with patients.
Electronic Health Record (EHR) use can enhance or weaken patient-provider communication. Despite EHR adoption, no validated tool exists to assess EHR communication skills. We aimed to develop and validate such a tool.
Electronic-Clinical Evaluation Exercise (e-CEX) is a 10-item-tool based on systematic literature review and pilot-testing. Second-year (MS2s) students participated in an EHR-use lecture and structured Clinical Examination (OSCE). Untrained third-year students (MS3s) participated in the same OSCE. OSCEs were scored with e-CEX compared to a standardized patient (SP) tool. Internal consistency, discriminant validity, and concurrent validity were analyzed.
Three investigators used e-CEX to rate 70 videos (20 MS2, 50 MS3). Reliability testing indicated high internal consistency (Cronbach’s alpha=0.89). MS2s scored significantly higher than untrained MS3s on e-CEX [e-CEX 55(10.7) vs. 44.9 (12.7), P=0.003], providing evidence of discriminant validity. e-CEX and SP score correlation was high (Pearson correlation=0.74, P<0.001), providing concurrent validity evidence. Item reduction suggested a three-item tool had similar explanatory power (R-squared=0.85 vs 0.86).
e-CEX is a reliable, valid tool to assess medical student patient-centered EHR communication skills.
While validation is needed with other healthcare providers, e-CEX may help improve provider behaviors and enhance patients’ overall experience of EHR use in their care.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>29042145</pmid><doi>10.1016/j.pec.2017.10.005</doi><tpages>9</tpages></addata></record> |
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| ispartof | Patient education and counseling, 2018-03, Vol.101 (3), p.481-489 |
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| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Clinical Competence Communication Educational Measurement EHR Electronic Health Records Electronic medical records Evaluation Female Health Records, Personal Humans Nursing Patient-Centered Care - methods Patient-provider relationship Professional-Patient Relations Reproducibility of Results Students, Medical - psychology |
| title | Electronic-clinical evaluation exercise (e-CEX): A new patient-centered EHR use tool |
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