title: New conceptual model of EMR implementation in interprofessional academic family medicine clinics.
abstract: OBJECTIVE
  To capture users' experiences with a newly implemented electronic medical record (EMR) in family medicine academic teaching clinics and to explore their perceptions of its use in clinical and teaching processes.
  
  
  METHODS
  Qualitative study using focus group discussions guided by semistructured questions.
  
  
  METHODS
  Three family medicine academic teaching clinics in Winnipeg, Man.
  
  
  METHODS
  Faculty, residents, and support staff.
  
  
  METHODS
  Focus group discussions were audiorecorded and transcribed. Data were analyzed by open coding, followed by development of consensus on a final coding strategy. We used this to independently code the data and analyze them to identify salient events and emergent themes.
  
  
  RESULTS
  We developed a conceptual model to reflect and summarize key themes that we identified from participant comments regarding EMR implementation and use in an academic setting. These included training and support, system design, information management, work flow, communication, and continuity.
  
  
  CONCLUSIONS
  This is the first specific analysis of user experience with a newly implemented EMR in urban family medicine teaching clinics in Canada. The experiences of our participants with EMR implementation were similar to those reported in earlier investigations, but highlight organizational influences and integration strategies. Learning how to use and transitioning to EMRs has implications for clinical learners. This points to the need for further research to gain a more in-depth understanding of the effects of EMRs on the learning environment.
authors.forename: Gayle
authors.initials: G
authors.lastname: Halas
authors.forename: Alexander
authors.initials: A
authors.lastname: Singer
authors.forename: Carol
authors.initials: C
authors.lastname: Styles
authors.forename: Alan
authors.initials: A
authors.lastname: Katz
mesh_terms: D003266:Continuity of Patient Care; D057286:Electronic Health Records; D005180:Faculty, Medical; D005194:Family Practice / Q000458:organization & administration*; D017144:Focus Groups; D006284:Health Plan Implementation; D006801:Humans; D019451:Information Management; D007318:Inservice Training; D007400:Interprofessional Relations; D008350:Manitoba; D036301:Qualitative Research; D012985:Software Design; D057188:Workflow