{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T20:36:47Z","timestamp":1768423007587,"version":"3.49.0"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Medical student note writing is an important part of the training process but has suffered in the electronic health record (EHR) era as a result of student notes being excluded from the billable encounter. The 2018 CMS billing changes allow for medical student notes to be used for billable services provided that physical presence requirements are met, and attending physicians satisfy performance requirements and verify documentation. This has the potential to improve medical student engagement and decrease physician documentation burden.<\/jats:p><jats:p>\n          Methods\u2003Our institution implemented medical student notes as part of the billable encounter in August 2018 with support of our compliance department. Note characteristics including number, type, length, and time in note were analyzed before and after implementation. Rotating medical students were surveyed regarding their experience following implementation.<\/jats:p><jats:p>\n          Results\u2003There was a statistically significant increase in the number of student-authored notes following implementation. Attending physicians' interactions with student notes greatly increased following the change (4% of student notes reviewed vs. 84% of student notes). Surveyed students reported that having their notes as part of the billable record made their notes more meaningful and enhanced their learning. The majority of surveyed students also agreed that they received more feedback following the change.<\/jats:p><jats:p>\n          Conclusion\u2003Medical students are interested in writing notes for education and feedback. Inclusion of their notes as part of the billable record can facilitate their learning and increase their participation in the note writing process.<\/jats:p>","DOI":"10.1055\/s-0041-1731342","type":"journal-article","created":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T23:02:46Z","timestamp":1625698966000},"page":"582-588","source":"Crossref","is-referenced-by-count":8,"title":["Improved Medical Student Engagement with EHR Documentation following the 2018 Centers for Medicare and Medicaid Billing Changes"],"prefix":"10.1055","volume":"12","author":[{"given":"Lindsay A.","family":"Stevens","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, United States"},{"name":"Information Services, Stanford Children's Health, Palo Alto, California, United States"}]},{"given":"Natalie M.","family":"Pageler","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, United States"},{"name":"Information Services, Stanford Children's Health, Palo Alto, California, United States"}]},{"given":"Jin S.","family":"Hahn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, United States"},{"name":"Information Services, Stanford Children's Health, Palo Alto, California, United States"}]}],"member":"194","published-online":{"date-parts":[[2021,7,7]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1056\/NEJM196803142781105","article-title":"Medical records that guide and teach","volume":"278","author":"L L Weed","year":"1968","journal-title":"N Engl J Med"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1097\/00001888-199901000-00010","article-title":"Learning objectives for medical student education--guidelines for medical schools: report I of the medical 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Challenges using vendor electronic health record metrics of provider efficiency","volume":"27","author":"J D Hron","year":"2020","journal-title":"J Am Med Inform Assoc"},{"issue":"04","key":"ref20","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1007\/s11606-019-04853-7","article-title":"CMS billing guidelines and student documentation: a new era or new burden?","volume":"34","author":"A Kumar","year":"2019","journal-title":"J Gen Intern Med"}],"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1731342.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T23:03:41Z","timestamp":1625699021000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1731342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":18,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2021,5,26]]},"published-print":{"date-parts":[[2021,5]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1731342","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}