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Use of templates for clinical documentation in psychiatric evaluations-beneficial or counterproductive for residents in training?
Journal article   Peer reviewed

Use of templates for clinical documentation in psychiatric evaluations-beneficial or counterproductive for residents in training?

Joanna Bajgier, James Bender and Rose Ries
International journal of psychiatry in medicine, v 43(1), pp 99-103
2012
PMID: 22641933

Abstract

Checklist Clinical Competence Documentation - methods Emergency Service, Hospital Humans Internship and Residency Interview, Psychological Medical Records Systems, Computerized Patient Admission Psychiatry - education Referral and Consultation Software
In psychiatry, as in other disciplines, electronic templates are replacing handwritten records to meet health care financing regulations and requirements of third-party payers. We address whether these checklists are helpful for residents, especially those beginning training, in learning the foundational skills of their discipline and in recording a comprehensive set of patient data. An informal survey of our residents suggests that residents find the templates useful, though they have advantages and disadvantages. We also review relevant literature from psychiatry and other fields on the use of electronic templates and pose questions about how we might gauge the usefulness of the templates in residents' training and in obtaining valid data for clinical decision-making.

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Web of Science research areas
Psychiatry
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