Objective/Background: Currently, there is little formal training for students regarding
the EMR. The third year OBGYN clerkship and the fourth year residency preparation course offer two
opportunities to expose and train students for EMR use and documentation. Students’ limited access to
EMRs in hospitals and outpatient settings has decreased their ability to practice documenting in and
interacting with the record. Deficiencies are being identified in Core Entrustable Professional Activities
(EPAs) for Entering Residency pertaining to medical records and documentation (EPAs 4 and 5). Mastery
of these EPAs is critical for communication, patient care, and billing. New guidelines from CMS will allow
students to begin interacting with the EMR in more direct and meaningful ways. Methods of instructing,
assessing and providing feedback on these two EPAs to reach entrustability will be discussed.
Workshop Agenda: In this interactive workshop, participants will review EPAs and how they relate to
the new CMS guidelines for medical student documentation. Interactive component: In small groups,
participants will 1) identify barriers to documenting in the EMR and possible strategies around them, 2)
develop lists of key documents and methods for assessment and feedback. Authors will present third
year training and residency preparatory training for students including teaching methods and feedback
templates and how to adapt these to their home institutions.
Take Home Product: Participants will leave with a developed toolkit on how to EMR and document
train.
Keywords: EMR training, Entrustable Professional Activity, CMS guidelines
Topics: Faculty Development Seminar, 2019, Clerkship Director, Systems-Based Practice & Improvement, UME,
Neda Etezadi-Amoli, MD, Carrie Bell, MD, Anita Malone, MD
