PURPOSE There is limited literature related to the assessment of electronic medical record (EMR)-related competencies. To address this gap, this study explored the feasibility of an EMR objective structured clinical examination (OSCE) station to evaluate medical students’ communication skills by psychometric analyses and standardized patients’ (SPs) perspectives on EMR use in an OSCE. METHODS An OSCE station that incorporated the use of an EMR was developed and pilot-tested in March 2020. Students’ communication skills were assessed by SPs and physician examiners. Students’ scores were compared between the EMR station and 9 other stations. A psychometric analysis, including item total correlation, was done. SPs participated in a post-OSCE focus group to discuss their perception of EMRs’ effect on communication. RESULTS Ninety-nine 3rd-year medical students participated in a 10-station OSCE that included the use of the EMR station. The EMR station had an acceptable item total correlation (0.217). Students who leveraged graphical displays in counseling received higher OSCE station scores from the SPs (P=0.041). The thematic analysis of SPs’ perceptions of students’ EMR use from the focus group revealed the following domains of themes: technology, communication, case design, ownership of health information, and timing of EMR usage. CONCLUSION This study demonstrated the feasibility of incorporating EMR in assessing learner communication skills in an OSCE. The EMR station had acceptable psychometric characteristics. Some medical students were able to efficiently use the EMRs as an aid in patient counseling. Teaching students how to be patient-centered even in the presence of technology may promote engagement.

中文翻译：

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在客观结构化临床检查中引入电子健康记录站以评估加拿大医学生沟通技巧的经验：一项描述性研究。

目的 与电子病历 (EMR) 相关能力评估相关的文献有限。为了解决这一差距，本研究探讨了 EMR 客观结构化临床检查 (OSCE) 站的可行性，通过心理测量分析和标准化患者 (SP) 对 OSCE 中 EMR 使用的看法来评估医学生的沟通技巧。方法 2020 年 3 月，开发了一个采用 EMR 的 OSCE 站并进行了试点测试。SP 和医师检查员对学生的沟通技巧进行了评估。EMR 站与其他 9 个站之间的学生成绩进行了比较。进行了心理测量分析，包括项目总相关性。SP 参加了欧安组织后焦点小组，讨论他们对电子病历对沟通影响的看法。结果 99 名三年级医学生参加了 10 个站的 OSCE，其中包括使用 EMR 站。EMR 站的项目总相关性可接受 (0.217)。在咨询中利用图形显示的学生从 SP 处获得了更高的 OSCE 站分数 (P=0.041)。焦点小组对 SP 对学生使用 EMR 的看法进行了主题分析，揭示了以下主题领域：技术、沟通、案例设计、健康信息的所有权以及 EMR 使用的时间安排。结论 这项研究证明了将 EMR 纳入 OSCE 评估学习者沟通技能的可行性。EMR 站具有可接受的心理测量特征。一些医学生能够有效地使用电子病历来辅助患者咨询。教学生即使在技术存在的情况下如何以患者为中心可能会促进参与。