Impact of Medical Scribing on Medical Students: Focus Group and Pilot Survey Joseph Moirano BS1, Doreen Olvet PhD1, Gabrielle Goldberg MD1, Joanne Willey PhD1 and Janice John DO1 1Donald
Background
and Barbara Zucker School of Medicine at Hofstra/Northwell
Results
Survey Focus group themes informed survey design. • Questions 1-3 collected information regarding type of premedical school admission clinical or research experience. • Question 4 consisted of 15 Likert Scale questions ranging from strong negative to strong positive based on the themes of the focus group.
• Medical scribes document the patient-physician encounter. • Impact of scribing on healthcare outcomes, patient care and physician experience are reported. • There is no literature exploring how scribing experience impacts medical students. • The purpose of this multi-part, mixed methods study is to better understand students’ perceptions on how their experience as scribes impacts their journey as medical students.
Methods • PubMed and Google Scholar search to find articles pertaining to the experiences of medical scribes and their impact in the clinical environment.
Literature Review
• A 90-minute focus group with second year medical students with prior scribe experience. • Focus group discussion explored: i. Impact of scribe experience on professional development ii. Impact of scribe experience on clinical skills iii. Other topics that organically arose from discussion.
Focus Group
Discussion and Conclusions • •
• Focus group transcription reviewed and analyzed by 2 investigators who applied coded and Figure 7: Independent CRISPR knockout of CDK4 or CDK6 themed segments of data does not cause dropout in most breast cancer cell lines studied. • Third investigator arbitrated disagreements.
Analysis
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• Multiple themes arose from the focus group • Themes informed survey design
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Resources 1.
Results and future steps
This research may be valuable to medical educators and admissions committees. Results from this study may inform those considering a career in medicine or the health sciences. It is critical to understand the backgrounds, questions and experiences of learners. It is important to understand the impact of the hidden curriculum on learners even before they arrive at medical school.
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Shultz CG, Holmstrom HL. The use of medical scribes in health care settings: A systematic review and future directions. J Am Board Fam Med. Published online 2015. doi:10.3122/jabfm.2015.03.140224 DeWitt D, Harrison LE. The Potential Impact of Scribes on Medical School Applicants and Medical Students with the New Clinical Documentation Guidelines. J Gen Intern Med. Published online 2018. doi:10.1007/s11606-018-4582-8 Kwiatkowski T, Rennie W, Fornari A, Akbar S. Medical students as EMTs: skill building, confidence and professional formation. Med Educ Online. Published online 2014. doi:10.3402/meo.v19.24829 Wyatt TR, Wood EA, McManus J, Ma K, Wallach PM. The impact of an Emergency Medical Technician basic course prior to medical school on medical students. Med Educ Online. Published online 2018. doi:10.1080/10872981.2018.1474699