Abstract
Background Previous studies described attending physicians' perceptions of the benefits and
downsides of having the electronic health record (EHR) in the room during a clinical
encounter. The perspective of residents has received little attention.
Objective The goal of this project was to solicit internal medicine residents' perception of
EHR use in primary care clinic visits. In this report, we focus on residents' perception
of screen-sharing.
Methods We conducted qualitative, semistructured interviews of internal medicine residents.
Interviews were audiorecorded, transcribed, and anonymized. Using a deductive approach
to data analysis, we coded the transcripts to identify themes of interest.
Results We included 21 residents. We identified eight themes related to screen-sharing. We
identified opportunities, facilitators and barriers, and outcomes related to screen-sharing.
We conceptualized the outcomes, facilitators, and barriers as falling into four categories:
structural, patient based, physician based, and interactional.
Conclusion Wider dissemination and adoption of curricula designed to teach residents how to
incorporate EHR into the clinical encounter is needed. In addition, our study demonstrates
the need to focus this training, at least in part, on screen-sharing and management
of sensitive information disclosure.
Keywords
electronic health records - internal medicine - internship and residency - medical
education - patient–provider communication
