title: Evaluating the Impact of Computerized Provider Order Entry on Medical Students Training at Bedside: A Randomized Controlled Trial.
abstract: OBJECTIVE
  To evaluate the impact of computerized provider order entry (CPOE) at the bedside on medical students training.
  
  
  METHODS
  We conducted a randomized cross-controlled educational trial on medical students during two clerkship rotations in three departments, assessing the impact of the use of CPOE on their ability to place adequate monitoring and therapeutic orders using a written test before and after each rotation. Students' satisfaction with their practice and the order placement system was surveyed. A multivariate mixed model was used to take individual students and chief resident (CR) effects into account. Factorial analysis was applied on the satisfaction questionnaire to identify dimensions, and scores were compared on these dimensions.
  
  
  RESULTS
  Thirty-six students show no better progress (beginning and final test means = 69.87 and 80.98 points out of 176 for the control group, 64.60 and 78.11 for the CPOE group, p = 0.556) during their rotation in either group, even after adjusting for each student and CR, but show a better satisfaction with patient care and greater involvement in the medical team in the CPOE group (p = 0.035*). Both groups have a favorable opinion regarding CPOE as an educational tool, especially because of the order reviewing by the supervisor.
  
  
  CONCLUSIONS
  This is the first randomized controlled trial assessing the performance of CPOE in both the progress in prescriptions ability and satisfaction of the students. The absence of effect on the medical skills must be weighted by the small time scale and low sample size. However, students are more satisfied when using CPOE rather than usual training.
authors.affiliation: Biomedical informatics and public health department, HEGP, AP-HP, Paris Descartes University, Paris, France; INSERM UMR S 872 team 22, Faculté de Médecine, Paris Descartes University, Paris, France.
authors.forename: Maxime
authors.initials: M
authors.lastname: Wack
authors.affiliation: Departement of Cardiology, HEGP, AP-HP, Paris Descartes University, Paris, France; INSERM U-970, Faculté de Médecine, Paris Descartes University, Paris, France.
authors.forename: Etienne
authors.initials: E
authors.lastname: Puymirat
authors.affiliation: INSERM U-970, Faculté de Médecine, Paris Descartes University, Paris, France; Department of Internal Medicine, HEGP, AP-HP, Paris Descartes University, Paris, France.
authors.forename: Brigitte
authors.initials: B
authors.lastname: Ranque
authors.affiliation: Department of Internal Medicine, HEGP, AP-HP, Paris Descartes University, Paris, France.
authors.forename: Sophie
authors.initials: S
authors.lastname: Georgin-Lavialle
authors.affiliation: Department of Clinical Immunology, HEGP, AP-HP, Paris Descartes University, Paris, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Pierre
authors.affiliation: Departement of Cardiology, HEGP, AP-HP, Paris Descartes University, Paris, France.
authors.forename: Aurelia
authors.initials: A
authors.lastname: Tanguy
authors.affiliation: Department of Internal Medicine, HEGP, AP-HP, Paris Descartes University, Paris, France.
authors.forename: Felix
authors.initials: F
authors.lastname: Ackermann
authors.affiliation: Department of Internal Medicine, HEGP, AP-HP, Paris Descartes University, Paris, France.
authors.forename: Celine
authors.initials: C
authors.lastname: Mallet
authors.affiliation: Department of Infectious Diseases, Saint-Louis Hospital, Paris Diderot University, Paris, France.
authors.forename: Juliette
authors.initials: J
authors.lastname: Pavie
authors.affiliation: Biomedical informatics and public health department, HEGP, AP-HP, Paris Descartes University, Paris, France; INSERM UMR S 872 team 22, Faculté de Médecine, Paris Descartes University, Paris, France.
authors.forename: Hakima
authors.initials: H
authors.lastname: Boultache
authors.affiliation: Biomedical informatics and public health department, HEGP, AP-HP, Paris Descartes University, Paris, France; INSERM UMR S 872 team 22, Faculté de Médecine, Paris Descartes University, Paris, France; Centre d'Investigation Épidémiologique 4, INSERM, Faculté de Médecine, Paris Descartes University, Paris, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Durieux
authors.affiliation: Biomedical informatics and public health department, HEGP, AP-HP, Paris Descartes University, Paris, France; INSERM UMR S 872 team 22, Faculté de Médecine, Paris Descartes University, Paris, France; Center for Biomedical Informatics, Harvard Medical School & Children's Hospital Informatics Program, Boston Children's Hospital, Boston, Massachusetts, United States of America.
authors.forename: Paul
authors.initials: P
authors.lastname: Avillach
mesh_terms: D004503:Education, Medical, Graduate / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D050316:Medical Order Entry Systems