Using EPIC to Train Medical Students: Years 1

1
Using EPIC to Train Medical StudentsYears 1
2 and Beyond!

• Mary Boyle, MD
• Michael Koller, MD
• Aaron Michelfelder, MD
• Karen Roeckner, MS
• Gregory Gruener, MD, MBA
• May 22, 2009

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Loyola and EPIC

• Loyola is in the top 1.7 of hospitals
  nationwide in its use of EHR
• AND NOW we are using EPIC to teach part of
  our curriculum

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What do medical students need?

• 1. They need to be knowledgeable.
• 2. They need to be useful.

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Two needs coming together

• MS3s need to be comfortable with EPIC before the
  start of their 3rd year clerkships
• LUHS uses EPIC (inpatient and outpatient)
• Hines VA uses an EHR
• Radiology curriculum (Chest X-Ray)
• Needed to be delivered to MS2s in a reliable and
  realistic format

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Keeping It RealisticUsing EPIC

• Select actual chest x-rays from our
• patient population
• Use the associated notes of that particular
  patient
• Insert the real labs
• All identifying information is
  removed

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Radiology Curriculum Goals

• Develop systematic approach to CXR interpretation
  
• Identify basic findings they will see as an MS3
  
• Cardiomegaly
• Pleural effusion
• Consolidation
• Pneumothorax
• Congestive Heart Failure/Pulmonary edema

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Radiology Curriculum Goals

• How?
• Begin with 1 hour lecture on radiology
• This is during the 1st week of semester
  4
• --Continue in small group for 11 weeks
• Assigned 2-3 cases with CXRs each week
• MS4s and Attendings already familiar with PACs
  demonstrate bells and whistles, such as
  enlarge, change gray scale, etc

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Can EPIC be used even at the MS1 level?
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Solutions for becoming comfortablewith EHRs

• Patient Centered Medicine Year 1
• Semester 1
• First Years Observe Mentors Use of EHR in
  Patient Encounter
• Discuss How EHR Impacts Patient Encounter

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Solutions for becoming comfortablewith EHRs

• Patient Centered Medicine Year 1
• Semester 2
• Small group session The third person in the
  room, the computer
• Brainstorm a list of techniques as a small group
  on how to use the computer effectively
• Standard patient exercise
• MS1 takes history from memory, documenting
  findings in a blank progress note in EPIC
• Try Out Techniques and Receive Sp Feedback