title: An evaluation of one-on-one advanced proficiency training in clinicians' use of computer information systems.
abstract: OBJECTIVE
  We examined the effectiveness of a one-on-one training strategy for advanced proficiency in computer information systems (CIS) by clinicians in a large Health Maintenance Organization (HMO). Specifically, this study assessed the level of self-reported improvement in CIS efficiency following one-on-one training, and assessed the perceived value of one-on-one training compared to other teaching methods.
  
  
  METHODS
  We performed a cross-sectional study using a paper-based survey of 129 clinicians practicing in the HMO.
  
  
  METHODS
  We used a multi-item satisfaction index to measure clinician satisfaction with the one-on-one training. We measured whether clinicians thought they were more efficient using the system after training.
  
  
  RESULTS
  The one-on-one method was significantly preferred over other teaching methods. Compared to other CIS components, use of the electronic medical record (EMR) improved most following one-on-one training. Sixty-one percent of the clinicians reported major improvements (i.e., >3 on a 5-point Likert scale; five being the highest score) in using the EMR.
  
  
  CONCLUSIONS
  Perceived effectiveness of one-on-one training and overall satisfaction were ranked high by clinicians. The findings support the assumption that clinicians value one-on-one training and value this training method above other methods.
authors.affiliation: Kaiser Permanente Northwest, Department of Medical Informatics, Northwest Region, 500 NE Multnomah Street, Suite 100, Portland, OR 97232, USA. michael.kirshner@kp.org
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: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003200:Computer User Training; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000523:psychology