Posts Tagged ‘stanford’

“Am I Being HEHRd” Video – teaching EHR Etiquette at Stanford University

June 13th, 2010 | Popularity: 2%
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As I mentioned on this blog previously, Beverley Kane, MD, has been preparing a curriculum for Stanford School of Medicine students on the use of the electronic health record with patients. She recently shared this video that she’s created with us, and I am embedding it here:

Here is the video we premiered on Thursday for the MS IIs in Stanford’s Practice of Medicine course.

It was very well received, especially as I introduced it with a straight face, asking them to note how many of the guidelines the doctor and nurse violated.

They start their clinical rotations this month and get trained on the EHR for the first time.

So nice to see creativity applied to this part of the medical school curriculum; more importantly, nice to see the service aspect of medical care being part of the curriculum in the first place. To the readers – are there other medical schools that you know of that are doing well in this regard? Teaching about e-mailing patients and sharing patients’ medical / health information with them in the exam room and in the living room? Post in the comments please!

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Help Stanford Medical School teach EHR Etiquette to students

February 22nd, 2010 | Popularity: 5%
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Over the weekend, I received this message from Beverley Kane, MD, who teaches in the Stanford School of Medicine (and who, along with Danny Sands, MD, developed the very very first guideline for e-mail interactions between patients and doctors). Great to see medical schools thinking of this, and I also hope they will consider teaching about how to interact with patients online, including how to write to patients (If any school teaches this now, please post in the comments), and how to share patients’ health data with them online as well.

I sent Beverley a link cloud with resources available from Kaiser Permanente which are available online.

If you have useful information for Beverley, feel free to post links in the comments, or send directly to her at bkane1[atSign]stanford.edu.

Dear Medical and Medical Informatics Colleagues,

Our Stanford Practice of Medicine (Intro to Clinical Practice) course is introducing a segment this spring to teach med students how to maintain rapport with patients while using the electronic health record.

Do any of you, your institutions, or EHR vendors have guidelines, white papers, or teaching materials for EHR etiquette?

Thanks in advance for anything you can send us. I will be happy to share our course materials when finalized.

Beverley

_____________________________________________

Beverley Kane, MD Program Director, Medicine and Horsemanship

Stanford University School of Medicine Center for Education in Family and Community Medicine

http://familymed.stanford.edu/

See Emmy Award-winning Stanford “Medicine & Horses” video on NBC-TV

http://www.horsensei.com/nbcnews.html The Manual of Medicine and Horsemanship: Transforming the Doctor-Patient Relationship with Equine-Assisted Learning http://www.authorhouse.com:80/BookStore/ItemDetail.aspx?bookid=49669

_________________________________________________________   

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“If people are given the tools and techniques (to manage blood pressure), they can get better control,” – A Conversation With Nancy Houston-Miller, RN, BSN, FAHA

June 24th, 2008 | Popularity: 21%
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I was able to speak with Nancy Houston-Miller, RN, BSN, FAHA, about the future of blood pressure management today. She’s a national expert in the field, and has a research career spanning 30 years which has supported innovative ways to improve health. In the 1970′s her team established that patients could exercise to rehabilitate their hearts at home, rather than spending 6 weeks in the hospital.

I wanted to talk to Nancy about blood pressure, and specifically home monitoring, as a co-author and lead of the recent Call to Action by the American Heart Association, the American Society of Hypertension, and the Preventive Cardiovascular Nurses Association.

Her research has shown that the gold standard for blood pressure control should be the home, rather than office measurement, which is still where most blood pressure is managed (and with less then favorable results for most patients – about a third have adequate control, despite being well insured and with access to care). Nancy told me that control can be achieved using non-office based approaches, and her research has shown this. This is refreshing to hear especially in light of data indicating that it may becoming more difficult to control blood pressure. Could this be because of the “how” (office-visit-based) it’s being treated today?

What was the purpose of this conversation and where do we go from here? We think there is a good case for planting the seed for patient and family involvement in care for all chronic illnesses, using patient-centered technology, by starting here. As Nancy told me on the phone:

72 million Americans have high blood pressure, only a third have it under control, and they are at huge risk for kidney disease, heart disease, and stroke

High blood pressure may account for 27% of total CVD events in women, and 37% in men, 14% of heart attacks in men, 30% of heart attacks in women. We know the science of managing blood pressure, and the ways it can be managed best (by patients), why not empower them to do it, and empower them to help us design the ways to do it (see next post)

Stay tuned….

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