The Button Project: Using Chart Rounds for Teaching Clinical Ophthalmology with an Electronic Medical Record.
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2019-01
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Abstract
Objective
Chart rounds have traditionally been used effectively for clinical teaching in ophthalmology. The introduction of the electronic health record has altered practice patterns and some evidence suggests interference with resident education. The purpose of this study was to investigate the use of chart rounds in our ophthalmology department and to see if a simple intervention, an "education button", could positively impact clinical teaching.Design
We used a cross-sectional survey, and pre- and post-intervention surveys to assess the utility of an intervention - an "education button".Setting
Department of Ophthalmology at Duke University, a tertiary care academic ophthalmology practice, in Durham, North Carolina.Participants
Ophthalmology trainees (37), including residents and clinical fellows, and clinical faculty (50) in the department were surveyed anonymously. The overall response rate for the cross-sectional survey was 83% (72/87). The overall response rate for the educational study was 53% for the first time-point and 59% for the second time-point.Results
For the cross-sectional survey, trainees found chart rounds to be useful and would like to increase their frequency. Most faculty reported doing them regularly, although not having enough time was the most common barrier (76% of the faculty). In the pre- and post-assessment of the "education button" (overall response rate 53%), the overall impression was positive with the button easy to use, but the implementation of the button did not appear to change the quality or frequency of chart rounds; nor did it appear to have an effect on covering learning objectives.Conclusion
While the "education button" could help with communication between the faculty and trainees during a busy clinic session to identify cases for discussion, it did not address the most common barrier identified by faculty members, that of not having enough time.Type
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Rosdahl, Jullia A, Wenlan Zhang and Varsha Manjunath (2019). The Button Project: Using Chart Rounds for Teaching Clinical Ophthalmology with an Electronic Medical Record. Advances in medical education and practice, 10. pp. 1039–1044. 10.2147/amep.s237076 Retrieved from https://hdl.handle.net/10161/22326.
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Jullia Ann Rosdahl
I am a glaucoma specialist at the Duke Eye Center.
My passions are teaching, caring for patients and doctors, and saving retinal ganglion cells.
My research interests include patient education and adherence, medical and surgical education, OCT imaging for glaucoma, and physician wellness.
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