1. EDUCATIONAL OBJECTIVES CLICK TO GO BACK TO KIOSK MENU
Student and Faculty Perceptions of a Medical Documentation Application as a Teaching Tool
Michael Higgins MD, Shruti Chandra MD, Alan Cherney MD, Elisabeth Edelstein MD, 
Dimitrios Papanagnou MD, MPH, EdD, Irina Sanjeevan MD, Nicole Piela MD
Thomas Jefferson University, Philadelphia, PA
BACKGROUND
EDUCATIONAL OBJECTIVES
Developed an application that allows students to document in a portable simulated EMR with real time in-app feedback.
Used in clinical EM clerkship over the past academic year to promote education development and note writing skillset
Teach students basic documentation skills
Support commitment to management decisions before being influenced by preceptors’ suggestions and/or probing questions
Create a rubric to provide them with timely, formative feedback
Increase student involvement in the care team through documentation and real-time contribution of an assessment and plan
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2. Student and Faculty Perceptions of a Medical Documentation Application as a Teaching Tool
Michael Higgins MD, Shruti Chandra MD, Alan Cherney MD, Elisabeth Edelstein MD, 
Dimitrios Papanagnou MD, MPH, EdD, Irina Sanjeevan MD, Nicole Piela MD
Thomas Jefferson University, Philadelphia, PA
OBJECTIVES
Evaluate whether use of the medical documentation app improves a student’s ability to synthesize and convey patient information
Evaluate if documentation enhances their sense of engagement and satisfaction with their EM Clerkship
Evaluate whether attending physicians perceive a higher level of student performance and participation while using the application on shift.

3. Student and Faculty Perceptions of a Medical Documentation Application as a Teaching Tool
Michael Higgins MD, Shruti Chandra MD, Alan Cherney MD, Elisabeth Edelstein MD, 
Dimitrios Papanagnou MD, MPH, EdD, Irina Sanjeevan MD, Nicole Piela MD
Thomas Jefferson University, Philadelphia, PA
SURVEY QUESTIONS
SURVEY RESPONSES
Documenting on shift increased my ability to compose ED relevant HPI and ROS
Committing to a treatment plan prior to patient presentation improved my ability to integrate all relevant data points into a definitive management plan
Real time documentation allows me to feel more involved in patient care
Having the physician review my documentation during my presentation allows me to better convey the patient’s medical information
Real time documentation with on-shift attending documentation review improves my sense of value as a member of the medical team

4. Student and Faculty Perceptions of a Medical Documentation Application as a Teaching Tool
Michael Higgins MD, Shruti Chandra MD, Alan Cherney MD, Elisabeth Edelstein MD, 
Dimitrios Papanagnou MD, MPH, EdD, Irina Sanjeevan MD, Nicole Piela MD
Thomas Jefferson University, Philadelphia, PA
STUDENT RESULTS
ATTENDING RESULTS
59% agreed that documenting treatment plans helped them integrate relevant data points into their medical decision-making
48% agreed that physician review of their notes helped them better convey patient information
52% of students disagreed that documenting on shift made them feel more involved in patient care
60% of faculty respondents felt that the app improved their insight into the student’s MDM and helped them give meaningful feedback
Faculty felt that use of the app increased level of student engagement (80%) and accountability (70%)

5. Attending data showed inverse results but was limited
Student and Faculty Perceptions of a Medical Documentation Application as a Teaching Tool
Michael Higgins MD, Shruti Chandra MD, Alan Cherney MD, Elisabeth Edelstein MD, 
Dimitrios Papanagnou MD, MPH, EdD, Irina Sanjeevan MD, Nicole Piela MD
Thomas Jefferson University, Philadelphia, PA
CONCLUSIONS
Overall, students agreed that documenting via the app improved their clinical decision-making
Felt it detracted from their sense of involvement and value as team members
Attending data showed inverse results but was limited

6. Thomas Jefferson University, Philadelphia, PA
Student and Faculty Perceptions of a Medical Documentation Application as a Teaching Tool
Michael Higgins MD, Shruti Chandra MD, Alan Cherney MD, Elisabeth Edelstein MD, Dimitrios Papanagnou MD, MPH, EdD, Irina Sanjeevan MD, Nicole Piela MD
Thomas Jefferson University, Philadelphia, PA