![]() In addition, the scribe prompted physicians about indicated health maintenance items in real time and typed patient instructions and education information, if directed. During clinic visits, the scribe logged into the EHR on a separate laptop computer, loaded the note template preferred by the physician, and documented the encounter. Clinic sessions with a scribe comprised 25–80% of the total clinic sessions for each physician. Before the pilot, the scribe shadowed each physician for one clinic session and our research team met with the scribe and participating faculty to review responsibilities and best practices.Īt a minimum, we required that each faculty work with the scribe for one clinic session per week, and we divided the remaining time that the scribe was available across the faculty. She received 40 h of training on medical terminology and compliance and 4 h of UC-specific EHR ambulatory training. The scribe was a 20 to 30-year-old woman with 1 year of scribe experience. Our study aims to (1) evaluate the impact of using an outsourced scribe model on physician workplace satisfaction, burnout, and time spent on EHR documentation and (2) explore patient satisfaction and attitudes towards scribes at an urban, academic general internal medicine (GIM) clinic.Ī scribe company (PhysAssist Scribes, Inc.) provided one full-time scribe during the pilot. 19, 24 Physician satisfaction increased in both the rural and the academic safety net setting, while patient satisfaction was mixed. 22 In primary care, studies of outsourced scribes have been small and in unique settings (i.e., rural clinic and academic safety net hospital). A second common model is an outsourced scribe model, in which the training and management of scribes for documentation assistance are outsourced to an outside company. Resource-tight academic practices may not have the capacity to take on the training and management of scribes. 21 – 23 To date, three studies in primary care have examined the role of in-house scribes and found improvements in physician quality of life, physician burnout, and patient satisfaction. ![]() The in-house scribe model typically involves a licensed practical nurse (LPN) or medical assistant (MA) whose clinical role is expanded to include EHR documentation assistance and clinic navigation. One common model is an in-house scribe model, in which a clinical practice undertakes the training and management of scribes. In clinical practice, there are several models for incorporating scribes. 10 In emergency departments and subspecialty clinics, scribes have led to increased physician productivity and revenue and improvements in physician and patient satisfaction. Medical scribes are trained personnel who provide physicians with documentation assistance and perform other EHR tasks. ![]() 3 – 9Ī potential solution to address EHR-related dissatisfaction is the use of medical scribes. 2, 3 However, EHR use has also been shown to impede patient–doctor communication, increase physician attrition rates, and contribute to physician burnout. 1 EHR use has been associated with improvements in clinical care, including higher guideline adherence and fewer medication errors, without a decrease in patient satisfaction. In the USA, 83% of the office-based physicians reported using electronic health records (EHRs) in 2014.
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