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Publication Date
4-29-2026
Keywords
oregon, psvmc, psvmc gme, psvmc oaa
Disciplines
Medical Education | Quality Improvement
Abstract
Introduction: Physician burnout affects nearly 60% of physicians during their careers, leading to increased medical errors, reduced care quality, higher turnover, and lower patient satisfaction. ii. The widespread use of Electronic Medical Records (EMRs) has been identified as a key contributor, with poor usability, inbox overload, and documentation burden reducing direct patient interaction among cited factors iii. Institutions like UCHealth, OHSU, CHOP, and Mayo Clinic have implemented strategies that improved EMR confidence and reduced burnout vi. While Providence offers training to all providers, there are no initiatives specifically targeted to internal medicine (IM) residents. Methods: Providence St. Vincent Medical Center (PSVMC) uses the Epic EMR system. Using a controlled before-after design, four targeted workshops were conducted over one academic year, focusing on navigation, chart review, orders, and smart tools. Participants were PSVMC internal medicine residents (PGY1–PGY3) who voluntarily attended workshops. Control groups included non-participating PSVMC residents and residents from a sister program using the same Epic instance. Outcomes were measured using Epic Signal reports (proficiency score, PEP score, time in chart review, orders, and notes) and pre-/post -workshop surveys. Results: Overall workshop attendance among residents was 48%. Residents who attended more than 50% of sessions showed a 16% increase in Epic proficiency scores—nearly a full point—compared to 3.1% and 3.3% increases in those with lower attendance and the control group, respectively. Secondary outcomes showed relative reductions in time spent in Notes (14%), Orders (87%), and Chart Review (6%) among high-attendance participants. All survey respondents (100%) reported subjectively improved efficiency from the workshops. Conclusion: \Targeted EMR training workshops for internal medicine residents at PSVMC led to measurable improvements in Epic proficiency and efficiency. Higher workshop attendance correlated with greater gains in performance metrics and reduced time spent in documentation tasks. These findings support the value of structured EMR education in enhancing resident workflow and potentially mitigating burnout.
Specialty/Research Institute
Graduate Medical Education
Specialty/Research Institute
Internal Medicine
Specialty/Research Institute
Quality
Comments
References Agency for Healthcare Research and Quality. Physician burnout. April11, 2024. https:// www.ahrq.gov/prevention/clinician/ahrq-works/burnout/index.html Tawfik DS, Profit J, Morgenthaler TI, et al. Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. Mayo Clin Proc. 2018;93(11): 1571-1580. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258067/ Panagioti M, Geraghty K, Johnson J, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and metaanalysis. JAMA Intern Med. 2018;178(10):1317-1331. https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC6233757/ Willard-Grace R, Knox M, Huang B, Hammer H, Kivlahan C, Grumbach K.Burnout and health care workforce turnover. Ann Fam Med. 2019;17(1):36-41. https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC6342603/