PT  - JOURNAL ARTICLE
AU  - Gayle Halas
AU  - Alexander Singer
AU  - Carol Styles
AU  - Alan Katz
TI  - New conceptual model of EMR implementation in interprofessional academic family medicine clinics
DP  - 2015 May 01
TA  - Canadian Family Physician
PG  - e232--e239
VI  - 61
IP  - 5
4099  - http://www.cfp.ca/content/61/5/e232.short
4100  - http://www.cfp.ca/content/61/5/e232.full
SO  - Can Fam Physician2015 May 01; 61
AB  - Objective To capture users’ experiences with a newly implemented electronic medical record (EMR) in family medicine academic teaching clinics and to explore their perceptions of its use in clinical and teaching processes. Design Qualitative study using focus group discussions guided by semistructured questions. Setting Three family medicine academic teaching clinics in Winnipeg, Man. Participants Faculty, residents, and support staff. Methods Focus group discussions were audiorecorded and transcribed. Data were analyzed by open coding, followed by development of consensus on a final coding strategy. We used this to independently code the data and analyze them to identify salient events and emergent themes. Main findings We developed a conceptual model to reflect and summarize key themes that we identified from participant comments regarding EMR implementation and use in an academic setting. These included training and support, system design, information management, work flow, communication, and continuity. Conclusion This is the first specific analysis of user experience with a newly implemented EMR in urban family medicine teaching clinics in Canada. The experiences of our participants with EMR implementation were similar to those reported in earlier investigations, but highlight organizational influences and integration strategies. Learning how to use and transitioning to EMRs has implications for clinical learners. This points to the need for further research to gain a more in-depth understanding of the effects of EMRs on the learning environment.