P243 Medical student training for the electronic medical record: a quality improvement initiative

Background The Maternal & Newborn Clinical Management System (MN-CMS) project is a national electronic health record (EHR) that is being introduced to all 19 maternity units in the Republic of Ireland. Currently 4 units are operating with the MN-CMS electronic record. Medical students do not routinely receive training on using EHR’s prior to commencing clinical practice and this may serve as a barrier to accessing important clinical information required for education during their rotations. Aim We sought to develop an online training module to serve as an induction to the MN-CMS record and seek feedback from the medical students about its use to further improve the module Methods Royal College of Surgeons Medical students undergoing an Obstetrics & Gynaecology/Neonatology rotation at the Rotunda Hospital were surveyed as to their familiarity and preparedness for using an EHR. The initial group had a classroom based powerpoint presentation and a post presentation paper questionnaire. A video induction module for the EHR was created using PanoptoTM software and hosted on their Moodle education platform. A repeat survey was conducted of a new group of students using a surveymonkey© questionnaire. Results In the initial group (n=58) 57% of students had heard of the MN-CMS project and 62% had used an EHR previously. 93% found the induction lecture relevant with 79% satisfied with the teaching provided. In the group with access to the Moodle induction tutorial there was a 51% response to the surveymonkey (22/43) 36% had heard of the MN-CMS project, 59% had used and EHR, but only 22% were aware of the induction tutorial. 76% were satisfied with the teaching provided. The students polled after access to the Moodle induction video were more likely to want access to a precourse induction (50% vs 40%) as opposed to a first day classroom induction (50% vs 60%). Half of the students in the second group wished for an expanded Moodle induction. Conclusion Comments from the first group suggested that it would be valuable to have the induction online. When accessed the Moodle hosted induction tutorial was well received and students found the material useful. There was a disappointing response to the surveymonkey questionnaire as compared to the paper classroom version which may underscore the benefit of the online tutorial. Based on these findings incoming students will receive precourse email notification of the tutorial and a repeat assessment will be performed.