How to integrate the electronic health record and patient-centered communication into the medical visit: a skills-based approach

Teach Learn Med. 2013;25(4):358-65. doi: 10.1080/10401334.2013.827981.


Background: Implementation of the electronic health record (EHR) has changed the dynamics of doctor-patient communication. Physicians train to use EHRs from a technical standpoint, giving only minimal attention to integrating the human dimensions of the doctor-patient relationship into the computer-accompanied medical visit.

Description: This article reviews the literature and proposes a model to help clinicians, residents, and students improve physician-patient communication while using the EHR.

Evaluation: We conducted a literature search on use of communication skills when interfacing with the EHR. We observed an instructional gap and developed a model using evidence-based communication skills.

Conclusion: This model integrates patient-centered interview skills and aims to empower physicians to remain patient centered while effectively using EHRs. It may also serve as a template for future educational and practice interventions for use of the EHR in the examination room.

Publication types

  • Review

MeSH terms

  • Communication*
  • Electronic Health Records*
  • Humans
  • Office Visits*
  • Physician-Patient Relations*
  • Systems Integration*