Find out how it is being experienced.

In the survey, many staff at higher education institutions (HEIs) reported that clinical placements have little or no focus on digital skills and digital knowledge. The level of support and training seems to vary by clinical providers. However, 1 respondent also noted that students aren’t aware of their digital skills and knowledge training because it happens passively through using technologies like e-prescribing systems and hand-held ultrasound scanners.

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This almost happens without the student being aware - placements are using digital technology all the time, from e-prescribing systems, telemetry, handheld ultrasound scanners for venous access, Teams meetings for training. Students need to be made more aware that this is part of digital skills acquisition by the placement areas.
Staff at HEI

There is a lack of explicit digital skills education and students are expected to develop digital knowledge through practice. However, the focus groups identified that this disadvantages students who are not confident using digital technologies and it assumes some pre-existing digital knowledge. This assumption can increase stress for students, which may have a consequential impact on knowledge retention.

Case study 6: Improving learner preparedness in using Electronic Health Records

Professor Angela Davies is Director of Digital Transformation in Healthcare Education (School of Health Sciences) at the University of Manchester and, along with her colleagues, has increasingly been looking at ways to introduce digital technologies into learning, while also closing the gap between digital teaching and digitally enabled practice. One such example is the learning of Electronic Healthcare Record Systems (EHR’s), and the difficulties medical and health students were facing entering placements or practice without sufficient knowledge or exposure to EHR’s, with students reporting either very limited access or no access at all, as well as instances of having to use colleague accounts, increasing the risk of governance and confidentiality breaches.  

Kurt Wilson, Professor of Medical Education at The University of Manchester wanted to address this by developing ways for students to increase their interaction with EHR systems in academic settings. As well as using educational licences for simulated practice, Kurt drew on the expertise of a working group to simulate the type of complex and nuanced patient records they would encounter with a real-life patient.

Kurt and Angela recognised both the opportunities for developing this learning experience further, and the limitations of engineering patient records to provide the richness of data students would typically be working with on a real system. They also identified the value in extending EHR learning to other health and care professions including nursing, midwifery, and pharmacy. With faculty approval, Kurt and Angela successfully applied for a medical education grant from Pfizer and established an interdisciplinary working group, enabling them to focus on how they could integrate EHR into a pilot set of scaffold learning programmes, simulating full patient journeys between different student professions (handover from a hospital setting to community as one example), as well as embedding key underlying principles around the patient/professional dynamic, communication, and good quality data capture. Most excitingly, a major ambition for this project is to introduce the use of real patient data. With patients ready and willing to donate their records and even attend live simulated sessions, the project team are now exploring the necessary consent model to take this programme a step further.  

Contributor: Professor Angela Davies, Director of Digital Transformation in Healthcare Education, School of Health Sciences, The University of Manchester.

Page last reviewed: 15 May 2023
Next review due: 15 May 2024