HiTech training for physicians - any great ideas?

[HouTx, BSN, MSN, EdD]

How are you managing HiTech physician training? I am really interested in approaches that have been proven to be successful. I realize that this population has a unique set of characteristics & needs that we need to address. Are you using blended learning? Do you have any input on eLearning design that you could share?

Thanks in advance for any input.

[rninformatics, DNP, RN]

Excellent question!

I'm on my 3rd CPOE implementation and have found a combination of training delivery methods to work best.

Training docs is not the same as training any other clinician type. They do not do well in the group/classroom setting so I have found a combination of 1)one on one; elbow to elbow training, 2)CBT (computer based training) and 3)very small lecture style training methods to work the best.

Additionally providing CMEs with the training has been a draw........and of course food always works!

Training content also has to be agressively kept to the minimum - focused on what the doc will need to do his job/to complete his work...........

One on one training is good for assisting the individual physician in customizing his/her screens, favorite orders, desktop and reports related to just what they need/want to see related to specialty.

How are you managing HiTech physician training? I am really interested in approaches that have been proven to be successful. I realize that this population has a unique set of characteristics & needs that we need to address. Are you using blended learning? Do you have any input on eLearning design that you could share?

Thanks in advance for any input.

[HouTx, BSN, MSN, EdD]

Thanks so much for your insight. Our CME folks have indicated that this training would not meet criteria for CME approval - obviously I need to revisit this issue with them.

For our employee training, we have very specific criteria that must be met in order to meet pre-established competency requirements for software use and we would like to extend this same type of structure to our docs. What are your recommendations for this? Should we adopt 'credentialing' verbiage? What criteria should we use to indicate physician competency?

One last question - in the paper-based world, some physicians have a nurse (employed by him/her) who accompanies them on rounds & does most of the actual writing -- the doc just reads it over and signs. In your opinion, could this be allowable with EHR/CPOE systems also? Do you know of any regulatory stipulations that would prohibit this?

[rninformatics, DNP, RN]

We provided a certificate of completion that fit the elective category of CME credit for the individual physicians.

My credentialing and staff development/staff education folks helped with this. I did this in IL and MT, perhaps your state's CME requirements are different??

You are describing perhaps a scribe???........unless the person accompanying the doc is a PA or Nurse Practitioner it wont meet the Meaningful Use criteria for an "eligible provider" utilizing CPOE.

Thanks so much for your insight. Our CME folks have indicated that this training would not meet criteria for CME approval - obviously I need to revisit this issue with them.

For our employee training, we have very specific criteria that must be met in order to meet pre-established competency requirements for software use and we would like to extend this same type of structure to our docs. What are your recommendations for this? Should we adopt 'credentialing' verbiage? What criteria should we use to indicate physician competency?

One last question - in the paper-based world, some physicians have a nurse (employed by him/her) who accompanies them on rounds & does most of the actual writing -- the doc just reads it over and signs. In your opinion, could this be allowable with EHR/CPOE systems also? Do you know of any regulatory stipulations that would prohibit this?