{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T07:03:02Z","timestamp":1780297382784,"version":"3.54.0"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Syst"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Electronic health records (EHRs) are central to modern clinical workflows, yet undergraduate medical education often provides limited hands-on experience with authentic documentation systems. This gap may reduce preparedness for clerkships and residency, limit confidence with chart navigation, and hinder development of digital literacy and clinical reasoning skills. To develop a learner-centered, open-source, web-based educational EHR platform and evaluate its usability, educational value, and curricular integration across preclinical and clinical learners. A browser-based EHR was developed to simulate real-world documentation workflows, support case-based and problem-based learning, and provide structured feedback. The platform enables instructors to create cases, assign activities, and track learner engagement. Fifty-four preclinical medical students participated in preliminary usability testing and completed post session surveys evaluating usability, learning support, and perceived realism using 5-point Likert scales. Responses were analyzed descriptively. Students reported high usability (mean 4.1\u2009\u00b1\u20090.6) and strong satisfaction with organization, navigation, and learning support. Learners emphasized workflow realism and integration of documentation with communication tasks. Early EHR exposure helped bridge classroom learning and clinical practice. Feedback informed iterative improvements to interface clarity and workflow design. This platform provides scalable, structured exposure to clinical documentation. Early findings suggest improved digital fluency, confidence, and clinical reasoning. Integration of EHR based simulation into curricula may reduce the learning curve associated with real-world EHR use.<\/jats:p>","DOI":"10.1007\/s10916-026-02411-3","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T06:36:03Z","timestamp":1780295763000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Training for the Digital Clinical Environment: Preliminary Findings in Implementation of Electronic Health Record Platform in Medical Education"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8853-0441","authenticated-orcid":false,"given":"Ashley","family":"Tin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7058-2857","authenticated-orcid":false,"given":"Anthony","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7637-8912","authenticated-orcid":false,"given":"Kristy Y.","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1967-2059","authenticated-orcid":false,"given":"Jack","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0003-4983","authenticated-orcid":false,"given":"Avery","family":"Buehler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6419-8616","authenticated-orcid":false,"given":"Dongfang Emily","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8961-9405","authenticated-orcid":false,"given":"Sounak","family":"Dey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0587-8840","authenticated-orcid":false,"given":"Nicholas","family":"Stefanko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Nelson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2900-4561","authenticated-orcid":false,"given":"Aditya","family":"Vaidyam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"issue":"1","key":"2411_CR1","doi-asserted-by":"publisher","first-page":"e15","DOI":"10.3109\/0142159X.2012.638010","volume":"34","author":"MM Triola","year":"2012","unstructured":"Triola MM, Huwendiek S, Levinson AJ, Cook DA, Lowenstein J, Mennin S (2012) New directions in e-learning research in health professions education: report of two symposia. Med Teach 34(1):e15\u2013e20. https:\/\/doi.org\/10.3109\/0142159X.2012.638010","journal-title":"Med Teach"},{"key":"2411_CR2","unstructured":"Liaison Committee on Medical Education (LCME) (2025) Publications. https:\/\/lcme.org\/publications\/. Accessed 9 Feb 2026."},{"key":"2411_CR3","unstructured":"Association of American Medical Colleges (AAMC) (2023) Webinar: Integrating Electronic Medical Records into Medical Education (Group on Information Resources). https:\/\/www.aamc.org\/professional-development\/affinity-groups\/gir\/webinar-emrs-meded. Accessed 9 Feb 2026."},{"issue":"1","key":"2411_CR4","doi-asserted-by":"publisher","first-page":"133","DOI":"10.5811\/westjem.2016.10.31294","volume":"18","author":"K Wittels","year":"2017","unstructured":"Wittels K, Wallenstein J, Patwari R, Patel S (2017) Medical student documentation in the electronic medical record: patterns of use and barriers. 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Fierce Healthcare. https:\/\/www.fiercehealthcare.com\/health-tech\/epic-gaining-more-ground-hospital-ehr-market-share-widens-its-lead-over-oracle-health. Accessed 9 Feb 2026."},{"issue":"3","key":"2411_CR8","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1080\/10401334.2012.692284","volume":"24","author":"MM Hammoud","year":"2012","unstructured":"Hammoud MM, Dalymple JL, Christner JG, Stewart RA, Fisher J, Margo K, Ali II, Briscoe GW, Pangaro LN (2012) Medical student documentation in electronic health records: a collaborative statement from the Alliance for Clinical Education. Teach Learn Med 24(3):257\u2013266. https:\/\/doi.org\/10.1080\/10401334.2012.692284","journal-title":"Teach Learn Med"}],"container-title":["Journal of Medical Systems"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10916-026-02411-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10916-026-02411-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10916-026-02411-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T06:36:06Z","timestamp":1780295766000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10916-026-02411-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["2411"],"URL":"https:\/\/doi.org\/10.1007\/s10916-026-02411-3","relation":{},"ISSN":["1573-689X"],"issn-type":[{"value":"1573-689X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,1]]},"assertion":[{"value":"10 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the University of Illinois Urbana Champaign Institutional Review Board and is in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"Informed consent will be obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Publish"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Not applicable.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"<!--Emphasis Type='Bold' removed-->Clinical Trial Number"}}],"article-number":"89"}}