Abstract
This chapter addresses the impact of electronic medical record (EMR) use on the patient–doctor relationship and communication. It starts by defining the principles of patient–centered care, explores the phenomena of treating the “iPatient” on the screen while ignoring the real patient, and discusses the myth of multitasking in the context of EMR use with patients. The chapter summarizes current research findings on how EMR use alters the patient–doctor interaction and outlines physician behaviors that may have a positive or negative impact on the clinical encounter and patient perceptions. In addition, the chapter presents evidence-based best practices to foster patient-centered communication, promote patient engagement, education, and shared decision making. Lastly, strategies to teach best practices as well as an institutional model for a longitudinal curriculum of EMR-based communication skills is provided.
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