{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T17:43:49Z","timestamp":1772127829957,"version":"3.50.1"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Electronic health records (EHRs) demand a significant amount of physician time for documentation, orders, and communication during care delivery. Resident physicians already work long hours as they gain experience and develop both clinical and socio-technical skills.<\/jats:p><jats:p>\n          Objectives\u2003Measure how much time resident physicians spend in the EHR during clinic hours and after-hours, and how EHR usage changes as they gain experience over a 12-month period.<\/jats:p><jats:p>\n          Methods\u2003Longitudinal descriptive study where participants were 622 resident physicians across postgraduate year cohorts (of 948 resident physicians at the institution, 65.6%) working in an ambulatory setting from July 2017 to June 2018. Time spent in the EHR per patient, patients records documented per day, and proportion of EHR time spent after-hours were the outcome, while the number of months of ambulatory care experience was the predictor.<\/jats:p><jats:p>\n          Results\u2003Resident physicians spent an average of 45.6\u2009minutes in the EHR per patient, with 13.5% of that time spent after-hours. Over 12 months of ambulatory experience, resident physicians reduced their EHR time per patient and saw more patients per day, but the proportion of EHR time after-hours did not change.<\/jats:p><jats:p>\n          Conclusion\u2003Resident physicians spend a significant amount of time working in the EHR, both during and after clinic hours. While residents improve efficiency in reducing EHR time per patient, they do not reduce the proportion of EHR time spent after-hours. Concerns over the impact of EHRs on physician well-being should include recognition of the burden of EHR usage on early-career physicians.<\/jats:p>","DOI":"10.1055\/s-0041-1732403","type":"journal-article","created":{"date-parts":[[2021,8,4]],"date-time":"2021-08-04T22:30:24Z","timestamp":1628116224000},"page":"721-728","source":"Crossref","is-referenced-by-count":31,"title":["Resident Physician Experience and Duration of Electronic Health Record Use"],"prefix":"10.1055","volume":"12","author":[{"given":"A. Jay","family":"Holmgren","sequence":"additional","affiliation":[{"name":"Center for Clinical Informatics and Improvement Research, School of Medicine, University of California, California, United States"}]},{"given":"Brenessa","family":"Lindeman","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, United States"}]},{"given":"Eric W.","family":"Ford","sequence":"additional","affiliation":[{"name":"School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama, United States"}]}],"member":"194","published-online":{"date-parts":[[2021,8,4]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1056\/NEJMp0912825","article-title":"Launching HITECH","volume":"362","author":"D Blumenthal","year":"2010","journal-title":"N Engl J 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