Abstract
INTRODUCTION: Family medicine (FM) residents spend hours working in the electronic health record (EHR). We implemented a multifaceted training program to improve their ability to utilize the EHR. This study analyzed Epic Signal data to assess the impact of that training on their proficiency and efficiency in the system. METHODS: We performed a retrospective cohort study using 3 years of monthly data exported from Epic's Signal database for residents in our FM program and programs of internal medicine, obstetrics and gynecology, and pediatrics within our organization. The EHR training program was implemented in FM (and not the other residencies) incrementally across this time frame. We analyzed trends in Epic's proprietary Provider Efficiency Profile Score ("efficiency") and Proficiency Score ("proficiency") for differences in these scores. RESULTS: FM residents demonstrated improved proficiency in EHR use over time compared to the other residencies. No significant changes in efficiency were seen for any group. CONCLUSION: Epic Signal data provides a tool to study curricular impacts. An EHR training program enhanced FM residents' proficiency but did not improve efficiency.