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The role of electronic health records in clinical reasoning
Author(s) -
Berndt Markus,
Fischer Martin R.
Publication year - 2018
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/nyas.13849
Subject(s) - documentation , argumentation theory , health records , electronic health record , health care , medical record , psychology , medicine , knowledge management , medical education , computer science , epistemology , political science , philosophy , law , radiology , programming language
Electronic health records (eHRs) play an increasingly important role in documentation and exchange of information in multi‐and interdisciplinary patient care. Although eHRs are associated with mixed evidence in terms of effectiveness, they are undeniably the health record form of the future. This poses several learning opportunities and challenges for medical education. This review aims to connect the concept of eHRs to key competencies of physicians and elaborates current learning science perspectives on diagnostic and clinical reasoning based on a theoretical framework of scientific reasoning and argumentation. It concludes with an integrative vision of the use of eHRs, and the special role of the patient, for teaching and learning in medicine.