title: One-on-one proficiency training: an evaluation of satisfaction and effectiveness using clinical information systems.
abstract: OBJECTIVE
  To examine the effectiveness of a one-on-one training method for advanced proficiency in the use of clinical information systems (CIS) by clinicians (physicians, physician assistants, and nurse practitioners) in a large HMO.
  
  
  METHODS
  A cross-sectional survey of 129 clinicians.
  
  
  METHODS
  Satisfaction was measured using a multi-item satisfaction index. Perceived effectiveness of the training was measured by assessing self-reported improvements in efficiency in CIS.
  
  
  RESULTS
  Response rate of 80%. The one-on-one method was significantly preferred over any other teaching methods (p<.0001). Improvement in use of the electronic medical record was greatest following one-on-one training when compared to other CIS components. Major improvements (i.e., >3 on 5 point Likert scale) in use of the electronic medical record were reported by 61.4% of the clinicians. Overall satisfaction was significantly higher among women (p<.05).
  
  
  CONCLUSIONS
  The findings support the assumption that one-on-one training is of value to clinicians and that this training modality is valued above other methods.
authors.affiliation: Kaiser Permanente Center for Health Research, Portland OR, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Kirshner
authors.forename: Herbert
authors.initials: H
authors.lastname: Salomon
authors.forename: Homer
authors.initials: H
authors.lastname: Chin
mesh_terms: D001292:Attitude to Computers; D003197:Computer Literacy; D003258:Consumer Behavior; D003430:Cross-Sectional Studies; D003625:Data Collection; D034742:Electronic Mail; D005260:Female; D006279:Health Maintenance Organizations; D006801:Humans; D007318:Inservice Training / Q000379:methods*; D008297:Male; D008331:Management Information Systems; D008490:Medical Informatics / Q000193:education; D016347:Medical Records Systems, Computerized; D009722:Nurse Practitioners; D010823:Physician Assistants; D010820:Physicians; D011361:Professional Competence; D013663:Teaching / Q000379:methods