[MT-L] New Physician Module training Magic 5.64
Anna Bellitt
Hi! I was hoping to get some feedback from other sites on how you train new physicians entering your facility. Do you train 1:1 and if so how long does the training last and what modules do you cover? We have been having problems with insufficient orientation time for new physicians and they are not getting properly trained on our EMR software. Our CMO refuses to give us any more time because it is “too expensive” to allow training time for the doctors. We are not live with CPOE yet but will be in the fall. We are given 90 minutes with the new providers to train them on Outlook, Physician Desktop (including task management, rounding lists, and electronic signature/report editing), Clinical Review, PCI, and Visual Flowsheet. While most of the same information from the EMR is contained in Clinical Review, PCI, and Visual Flowsheet we need to at least introduce them to each one so that they can choose the view that works for them. We consistently run out of time and I know it’s frustrating and overwhelming for the providers. Has anyone else run into this problem? I am concerned about how we are going to adapt when we have to add CPOE to this training time.
Thanks!
D. Anna Bellitt, RN, BSN
Information Systems – PCM Team
Bozeman Deaconess Hospital
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Kenner, Brian P
Hi Anna,
We do most of our physician training one on one as much as possible. That being said, we do train incoming residents and medical students in a large group environment.
We typically devote 90 minutes to a full 2 hours JUST for PDOC, Physician Desktop, and Clinical Review. They get another 30 minutes to an hour for CPOE training and another 30 minutes or so for PCI training.
These times vary on how computer savvy the provider is.
Outside of the above times, they have additional training centered around network login, Webmail, etc.
90 minutes seems very limited to me for the amount of information you are covering.
If you have any other questions, please let me know.
Have a great weekend,
Brian Kenner
Manager - Clinical Applications
INHS / IRM
Desk: 509.789.4980
"UNLESS someone like you cares a whole awful lot, nothing is going to get better. It’s not." ~Dr. Seuss
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John Lee
I would hope that your CMO understands the role that data will play in your hospital's survival into the future. The EMR should no longer be considered some "replacement" for paper, but a critical tool no different than other technology that is strategically used to improve care. Would it be sufficient to do a 90 minute inservice for a new high tech robotic surgical system then just let the staff use it without any further support?
John Lee, MD
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Paul Goedicke
I agree. You’ll only get out of the system the effort expended to train users – whether Physicians or not.
My opinion is that it’s easier to provide follow-up training - “Oh, I remember that now” response versus “Where in the heck did that come from?” if users have a fairly thorough background training in applications they’ll be using daily. Remember GIGO – garbage in, garbage out. I guess the choice is going through the expense of initial training or the added expense of delayed projects later due to just-in-time training that cannot be scheduled.
Again, just my opinion…
Paul Goedicke
Clinical Analyst III
Jackson County Memorial Hospital
1200 E. Pecan Street
Altus, OK 73521
Phone (580) 379-5565
Fax (580) 379-5559
paulgo...@jcmh.com
“Technology is a queer thing. It brings you great gifts in one hand,
And it stabs you in the back with the other.”
-Carrie P. Snow
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Rousseau, Christi
Hi Anna –
We have a strictly formatted physician onboarding process – one that outlines all that we need to cover with new physicians vs. residents, medical students, nurse practitioners, and/or locum tenens. This helps us to be sure that we don’t forget to cover all the bases with the physicians. I will be happy to share these documents with you – onboarding checklist, orientation schedule, departmental operating instructions for onboarding physicians, training materials, and competency checklists. We presented these at MUSE this year in our presentation “The ‘Impossibility’ of Physician Engagement”.
We are Magic 5.64 and are Live with CPOE - planning to go Live with medication reconciliation and RxM for our physicians soon. A conversation you may need to have with your CMO would be one of patient safety. CPOE and RxM, if not used correctly, can cause great harm to patients – especially medication ordering. You will need not only to do the one-on-one training with physicians, but also judge their competency in the name of patient safety. How could your CMO possibly argue with your request for more time with physicians when there is a potential for patient harm due to inadequate training? Always take the side of patient safety.
We currently schedule a full day of IT orientation for new providers. Physicians and nurse practitioners receive one-on-one training, while residents and medical students are trained in a classroom setting. This orientation includes everything from Outlook to setting up Pocket PC on their cell phones to CPOE and PDoc. Established physicians going Live with CPOE and PDoc are required to spend 4 hours with us. All are required to undergo competency testing.
The only modules we cover with new physicians are PWM (Desktop, rounding lists, Pocket PC, notifications, E-signature, CPOE, PDoc) and navigating Clinical Review and PCI. We will go over Scheduling/ORM with surgeons who want to have access to look at the surgery schedule.
I hope this helps – contact me if I can be of any further assistance.
Christi Rousseau, RN, Clinical Analyst
Information Technology Clinical Manager
Magnolia Regional Health Center
611 Alcorn Drive
Corinth, MS 38834
Message: 12
Date: Thu, 21 Jun 2012 07:46:06 -0600
From: Anna Bellitt <ABel...@bdh-boz.com>
To: "'medit...@mtusers.com'" <medit...@mtusers.com>
Subject: [MT-L] New Physician Module training Magic 5.64
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Hi! I was hoping to get some feedback from other sites on how you train new physicians entering your facility. Do you train 1:1 and if so how long does the training last and what modules do you cover? We have been having problems with insufficient orientation time for new physicians and they are not getting properly trained on our EMR software. Our CMO refuses to give us any more time because it is "too expensive" to allow training time for the doctors. We are not live with CPOE yet but will be in the fall. We are given 90 minutes with the new providers to train them on Outlook, Physician Desktop (including task management, rounding lists, and electronic signature/report editing), Clinical Review, PCI, and Visual Flowsheet. While most of the same information from the EMR is contained in Clinical Review, PCI, and Visual Flowsheet we need to at least introduce them to each one so that they can choose the view that works for them. We consistently run out of time and I know it'
s frustrating and overwhelming for the providers. Has anyone else run into this problem? I am concerned about how we are going to adapt when we have to add CPOE to this training time.
Thanks!
D. Anna Bellitt, RN, BSN
Lisee, Jan
Our CIO worked on selling the necessity of training to the CMO and was backed up by the president…
I would say that your leadership is not yet bought into the next phase of medical practice… automation
The patient safety expected will not happen if the physicians are not trained on how to use the system to enhance patient safety.
The opposite will certainly happen.. it will be unsafe if medication orders are entered inappropriately…
We can build the med orders as tight as possible… but if the users/physicians don’t know what to do, they can really do harm
Jan Lisee