EMR in the Classroom

One in a Million: Unique Patients Promote Learning

First-of-its-kind EHR Platform

We created one of the first Electronic Medical Record (EMR) Systems in 1972.

Think about that statement for a minute. We have patients in our Regenstrief EHR Clinical Learning Platform (formerly the Teaching EMR) that are celebrating their 45th birthday. We are celebrating the same age of 45 for the innovation of a system with patients who have medical records electronically as old potentially.

I would like to introduce you to Faye.One in a million, Faye, helps students learn using real EHR data

Faye Dugan is not her real name. It is her system-generated name that has been applied consistently across her medical history.

Our Faye turned 45 on Sunday (April 16th, 2017). Happy belated birthday Faye!

The real patient that this data is based on did not celebrate their birthday on Sunday. We shift dates to protect their privacy and the security of the data.

We have access to over a million patients like Faye for students and educators to use for learning in Medical and Allied Health Professions programs.

We’ve all heard the expression, “One in a Million!” Well, our Faye is just one in a million plus patients available for accelerating the change in medical education. Millions of opportunities for improving students in Medical school. Millions of opportunities for nurses and allied health professionals to gain experience in an EHR today.

All patients like Faye go through a complex and rigorous de-identification and misidentification process. This process scrubs and scrambles the actual dates and names to anonymize the information. By doing this, educators can provide students with real patient data without any risk to our real Faye’s of the world privacy or security. All bundled nicely with other tools in our EHR Clinical Learning Platform to promote applied learning.

Real Learning Environments

We offer a first-of-its-kind platform that uses real, de- and misidentified patient data at this scale. All done to safely allow students to virtually care for patients with multiple, complex health conditions. The platform is based on a real EHR. So, navigating records, documenting encounters and placing orders within inpatient, outpatient, and emergency environments are similar to the EHRs they will use in practice.

Our platform provides an immersive and cutting-edge way for medical educators to teach students how EHRs can be used to address important issues pertaining to population health, quality improvement, patient safety and social determinants of health. The platform uniquely offers tools for educators to create customized content that is specific to their curriculum goals as well as tools to evaluate students.

Faye and Steve are just a two of the millions of patients available for learning in our EHR









Virtual Families of Patients at UConn

We are currently helping University of Connecticut School of Medicine who is using our platform. UConn is introducing students to patients within virtual families with their updated curriculum for 2016. So, students are not just learning with Faye, but also her husband, Steve.

This use of “families” in education is just one of the many new approaches that programs can take with their curriculum using our Regenstrief EHR Clinical Learning Platform. Don’t they look like a happy couple?

Experience is the Difference

Never tell them your age, right? Even our Faye does not mind because she aged gracefully. So, why do I bring up our age earlier? Why did I introduce you to one of the millions of potential patients that could be used to teach and train your students? It is important to know where you have been. Also, what amount of experience you might bring to your future endeavors.

Today, April 19th, 2017, our team and product will embark on a new path here at the Regenstrief Institute with our EHR platform for education. A path we have been on for 45 years. Yes, we are a newer face in Medical and Allied Health Professions education, but a trusted friend in EHRs.

That is why we are very excited to announce our collaboration with the American Medical Association (AMA). Our friends at the AMA and Regenstrief are committed to improving student learning using an EHR today. , we are rebranding our Teaching EMR you’ve known and trusted since 2013 as the new Regenstrief EHR Clinical Learning Platform.

In addition to AMA collaboration, we are rebranding our Teaching EMR you’ve known and trusted since 2013 as the new Regenstrief EHR Clinical Learning Platform. The Teaching EMR (tEMR) has evolved over the last four years into a platform to enhance clinical learning. We felt this was an excellent time to rebrand tEMR in conjunction with our announcement of the expanded collaboration with the AMA. Don’t worry; the tEMR spirit lives on inside the platform of tools and resources for educators.

Why a New Name?

You might be asking, why a new name? The applied learning platform is so much more than an EMR tool for teaching. We needed our name to express that for us. It is a platform where clinical education content is developed and shared today to promote learning. We did not want our name to limit the imagination of our users and future users of the platform. It is tied to our heritage with that rich teaching history, Regenstrief EHR, and also encapsulates our future for changing medical and allied professions education within a REAL clinical learning platform.

It is truly a platform where clinical education content is developed and shared today to promote learning. We did not want our tEMR name to limit the imagination of our users and future users of the platform to just a teaching tool. It is tied to our heritage with that rich teaching history, Regenstrief EHR, and also encapsulates our future for changing medical and allied professions education within a REAL clinical learning platform.

Just as Gopher and G3 are the legacy applications the platform was formed on, the new Regenstrief EHR will be associated with our heritage and rich teaching history in innovation in Health IT. Also, our new name encapsulates our future opportunities for changing Medical and Allied Professions Education within a REAL clinical learning platform.

“Everything about the platform is REAL.”

A REAL EHR for Learning

Students have access to real patients, real notes, in a real EHR, that will provide them with real experience that they can take with them into their real clinical practice one day–but they get that experience now. No one needs to wait until they enter clerkship. Today. We have programs that are already using the platform with first and second-year students in their curricula. Our platform

Our clinical learning platform can grow with medical professionals from year one (M1) and beyond. The Regenstrief EHR Clinical Learning Platform has already been used in several research studies as well with graduate and advanced students in Medical and the Allied Health Professions for continuing education.

Indiana University started using in 2015 with about 350 students in their Introduction to Clinical Medicine curriculum. That was just the beginning. We could not have done this without our partners at Indiana University School of Medicine and Eskenazi Health. The employees, students, administrators, and educators at these great organizations have all contributed to the platform’s development and growth over the last few years.

A Real Collaboration with the AMA

Today’s announcement with the AMA is giant leap forward for this small project that came to life back in 2013 by Dr. Takesue and Dr. Litzelman who envisioned a virtual health system to use in teaching students. Individuals like William Tierney (former President of the Regenstrief Institute) and Jeremy Leventhal shepherded this research project into the product that it is today.

“It is ironic as electronic health records have proliferated in the past decade, significant medical student exposure to these systems has decreased. EHRs are a tool most physicians will use every day in their practice, and data from EHRs will impact all physicians,” said Regenstrief research scientist and assistant professor of clinical medicine at IU School of Medicine Blaine Y. Takesue, M.D. “This new collaboration between Regenstrief and the AMA reflects two realities. First, health professions schools regard EHR and informatics training as necessary for their students. Second, the Indiana University School of Medicine, the Regenstrief Institute, Eskenazi Health and the AMA believe that investment in the Regenstrief Electronic Health Record Clinical Learning Platform will improve healthcare by improving the informatics ‘IQ’ of medical students and other healthcare profession students.”

As one of the initial consortium member schools for the AMA’s Accelerating Change in Medical Education grants, we became part of a group of 11 medical schools that were thinking about the medical school of the future. The AMA collaboration announcement (read the full release at link) demonstrates their interest in the Regenstrief EHR Clinical Learning Platform and the team helping to deliver on their mission to disseminate innovative curricula and tools for improving medical education. We are very excited to be collaborating with them on this platform that has an opportunity to provide a global impact on health and healthcare.

Where to Go Next

If you have questions about what we are doing around the Regenstrief EHR Clinical Learning Platform and how we might be able to help you and your program, please contact me, Brian Stout at bristout@regenstrief.org.

To read more about the collaboration and press release, here is a good link to Healthcare Informatics that came out today (April 19th, 2017). Check out our academic EHRs News section for additional articles and links to great information on EHRs / EMRs in education.

We have a lot of great resources on our site. You can also learn a lot about the Institute at Regenstrief.org.

Brian Stout
Sr. Product Manager
Regenstrief EHR Clinical Learning Platform
Regenstrief Institute – Center for Biomedical Informatics (CBMI)




About the Author

Brian Stout is a senior leader in marketing and product at the Regenstrief Institute in Indianapolis. He is an authority on using EHRs in Medical and Allied Professions Education. He leads product for one of the nation’s most seasoned (since 1972) and innovative electronic health record platforms in the country. An advocate for learning and professional development, he is continuing his education with a Masters in Data Science from Indiana University in the Fall of 2017. You can follow him on Twitter @TeachingEMR and LinkedIn or other social platforms under ThinkStout.

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