Ambulatory physicians' electronic health record self-efficacy

Objective: To assess ambulatory providers' confidence in learning about and using the electronic health record (EHR). Materials and Methods: Providers were administered an EHR skills self-assessment survey. Results: 71 providers participated. Only 35% of respondents felt that they had strong EHR skills, 92% felt confident that they could learn new skills, and 90% felt they could improve with practice. 45% of faculty physicians felt confident that they could use the EHR in a time-efficient manner and 52% felt could keep up with advances but 16% felt apprehensive about using the EHR. 94% of faculty would welcome opportunities to learn more. Discussion: Most providers viewed using the EHR as a clinical skill they could master with training and practice. Conclusion: Physicians may be engaged by EHR training programs that focus on the use of the EHR as a clinical skill. This work has informed new training programs at our institution.研究目标：评估门诊医疗服务提供者学习与使用电子健康记录（Electronic Health Record, EHR）的信心状况。 材料与方法：向门诊医疗服务提供者发放EHR技能自我评估调查问卷。 研究结果：共计71名医疗服务提供者参与本次调研。仅35%的受访者认为自身具备较强的EHR技能；92%的受访者表示有信心学习新技能，90%的受访者认为通过实践可提升自身技能水平。45%的教职医师有信心以高效方式使用EHR，52%的教职医师表示能够跟上技术迭代步伐，但仍有16%的受访者对使用EHR感到担忧。94%的教职医师希望获得更多EHR相关学习机会。 讨论：多数医疗服务提供者认为，EHR的使用属于可通过培训与实践掌握的临床技能。 结论：以将EHR使用作为临床技能的培训项目，可有效吸引医师参与。本研究为所在机构的全新培训项目开发提供了参考依据。