Abstract

Physician burnout in the United States has been growing at an alarming rate, and health care organizations are beginning to invest significant resources in combating this phenomenon. Although the causes for burnout are multifactorial, a key issue that affects physicians is that they spend a significant proportion of their time interacting with their electronic health record (EHR) system, primarily because of the need to sift through increasing amounts of patient data, coupled with a significant documentation burden. This has led to physicians spending increasing amounts of time with the EHR outside working hours trying to catch up on paperwork (“pajama time”), which is a factor linked to burnout. In this paper, we propose an innovative model of EHR training using high-fidelity EHR simulations designed to facilitate efficient optimization of EHR use by clinicians and emphasize the importance of both lifelong learning and physician well-being.

Highlights

  • Physician burnout is a significant problem in the United States today

  • While the etiology is multifactorial, the electronic health record (EHR) has been strongly implicated in physician burnout [3], because physicians spend a substantial proportion of their workday using the EHR

  • We developed an intelligent simulation model to facilitate EHR training, which involved the use of an environment that replicated real-world EHR use

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Summary

Introduction

Physician burnout is a significant problem in the United States today. One study has suggested that over 50% of physicians have experienced at least one symptom of burnout; alarmingly, the authors noted that the frequency of burnout increased by 10% in just three years (2011-2014) [1]. The risk of burnout has only intensified because of the additional stress on physicians caused by the COVID-19 pandemic [2], further underscoring the urgent need to find a way to mitigate this professional crisis

Is There a Relationship Between Electronic Health Record Use and Burnout?
What Is the Root of the Problem?
What Interventions Have Been Proposed?
What Is Our Model of EHR Training?
Findings
Final Thoughts
Full Text
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