title: Medical education in the electronic medical record (EMR) era: benefits, challenges, and future directions.
abstract: In the last decade, electronic medical record (EMR) use in academic medical centers has increased. Although many have lauded the clinical and operational benefits of EMRs, few have considered the effect these systems have on medical education. The authors review what has been documented about the effect of EMR use on medical learners through the lens of the Accreditation Council for Graduate Medical Education's six core competencies for medical education. They examine acknowledged benefits and educational risks to use of EMRs, consider factors that promote their successful use when implemented in academic environments, and identify areas of future research and optimization of EMRs' role in medical education.
authors.affiliation: Compensation and Pension and Ambulatory Care, VA Palo Alto Healthcare System, Palo Alto, California 94304, USA. Michael.Tierney@va.gov
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Tierney
authors.forename: Natalie M
authors.initials: NM
authors.lastname: Pageler
authors.forename: Madelyn
authors.initials: M
authors.lastname: Kahana
authors.forename: Julie L
authors.initials: JL
authors.lastname: Pantaleoni
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Longhurst
mesh_terms: D002983:Clinical Competence; D004501:Education, Medical / Q000639:trends*; D057286:Electronic Health Records; D005544:Forecasting