EMR in the Classroom

Regenstrief Team at ChangeMedEd 2017: Inside the Solution Center


Our team spent 5 days in Chicago the week of September 10th at the ChangeMedEd 2017 conference. The American Medical Association has put on the conference every other year since 2013. This year more than 450 industry professionals from medical education gathered together to discuss the medical education program we have today and the one we need for the future.

They kicked off each day with keynotes from Jeff DeGraff and David Nash.

The Creative Power of Constructive Conflict Keynote by Jeff DeGraff

Conflict within the team is good according to Jeff DeGraff in his presentation based on his book “The Innovation Code.” We are all unique in our approach to work and how we live. DeGraff talked about how we must use those differences within organizations in order to create and innovate. According to DeGraff, we tend to be Artists, Engineers, Athletes, or Sages. Identifying those different styles and how to best work together when we are all different is what is required to be truly innovative.

We did an exercise using his card game during the keynote where a random card associated with one of the different styles had a task on the back. If that was not something that we would excel at or identify with inside our organizations, we were asked to exchange that with someone else in the room–a la forced networking in a room full of 400+ people. I picked up the “Cutting Costs” card which aligns with the yellow “Engineers” in his classification system and typically at the top of the innovation curve to operationalize the innovations created by artists–the idea people. I was not able to find someone during the exercise that would be willing to trade with me. In my experience, no one wants to consider themselves a cost-cutter or boxed into the engineering style described. My guess is that in a room full of Doctors, we had a lot of Sages, Athletes, and Artists. I was looking for someone with an artist or athlete card to trade me–no luck.

One of the interesting quotes that I wrote down from the presentation talked about how we usually do ourselves in, rather than being done in by the competition. It is true from my experience. I

Organizations are not killed by competitors. They commit suicide.

I’ve worked on some really great teams in my career that made a series of bad decisions with people and technology that we simply could not recover from. It did us in. In Walt Kelly’s Pogo comic strip from the seventies, he quipped, “We have met the enemy, and he is us.” So, as we #ChangeMedEd let’s work together, rather than against ourselves, to improve the way that we educate future providers.

Leadership for Population Health Keynote by David Nash, MD, MBA 

The keynote on day 2 was from Dr. David Nash who presented on Population Health and a glaring need for leadership and communication. Dr. Nash presented some very interesting data about his local region in Philadelphia where he still practices around population health.

Dr. Nash created one of the first schools of Population Health back in 2008. He continues to be a champion for population health and creating cultures of wellness. We all know that our healthcare system is more focused on sick care than health and wellness. The data is overwhelming. One of the areas that our teaching EHR does well is giving students access to over 11K anonymized patients for use in curricula around population health. It will only get better as we add more patients from our partners at Eskenazi and IU Health to improve the way we train future doctors and allied health professionals in this area.

At the Solution Center: Teaching EHRs in Medical Education

We have collaborated with the American Medical Association (AMA) to bring our platform to more medical schools. The team here at Regenstrief received a nice endorsement from AMA President, Dr. David Barbe, who talked about the progress we have been making with our teaching EHR platform that came out of the Accelerating Change in Medical (ACE) grant that Indiana University School of Medicine received in 2013.

The conference had a solution center open for the first two days of the conference where we were able to meet medical educators and demonstrate our platform. We don’t often get a chance to meet directly those educators that are interested in our platform since many of our discussions take place on conference calls and through email correspondence. Plus, the direct feedback is extremely valuable.

My favorite moment during the solution center was when several schools stopped by the booth and asked about our platform was being used at schools on the EHR Clinical Learning Platform (Teaching EMR) today. One of our current users, Dr. David Henderson from University of Connecticut School of Medicine, just happened to be visiting with us at the time. Dr. Henderson was able to explain how they used the platform and their plans for using it in the future with their medical students, nursing, and other allied health professions.

Active Learning with a Teaching Electronic Medical Record

Dr. Takesue (Regenstrief & IU), Dr. Ken Lazarus (IU), and Dr. Dustin Worth (Idaho & WWAMI) all presented on how the platform is being used in curricula. The presentation was well attended. We had a lot of great questions and have already had several other schools schedule demonstrations with their peers that could not attend the conference.

Dr. Worth’s part of the presentation focused on what they are doing at Idaho with our teaching EMR in Basic Sciences. He should some clips from a class where he recorded the application and student interaction with the platform during Pulmonology Physiology learning lesson. Using the Clinical Decision Support system in our platform to prompt students for critical thinking and decision making is very innovative for first and second (M1-M2) medical students. We look forward to the new and innovative ways that Dustin and team will use our application–and your team.

All in all the conference was a success. If you were not able to make it by our booth to meet with us or see a demonstration, please don’t hesitate to contact me to get one scheduled. I would love to discuss how it is being used in curricula and how we could work with your program to bring it to your students, classrooms, and labs.

Below are some helpful links to get more information or get started with a demo.

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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 and builds amazing learning platforms for one of the nation’s most seasoned (since 1972) and innovative electronic health records in the country. An advocate for learning and professional development, he is continuing his education with a Masters in Data Science from Indiana University. You can follow him on Twitter @TeachingEMR and LinkedIn or other social platforms under ThinkStout.