The Electronic Health Record and the Clinical Examination.

Med Clin North Am

Division of General Internal Medicine, Hospitalist Program, Johns Hopkins University School of Medicine, Meyer 8-134-H, 600 North Wolfe Street, Baltimore, MD 21287, USA.

Published: May 2018

This review examines how the adoption of the electronic health record (EHR) has changed the most fundamental unit of medicine: the clinical examination. The impact of the EHR on the clinical history, physical examination, documentation, and the doctor-patient relationship is described. The EHR now has a dominant role in clinical care and will be a central factor in clinical work of the future. Conversation needs to be shifted toward defining best practices with current EHRs inside and outside of the examination room.

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http://dx.doi.org/10.1016/j.mcna.2017.12.009DOI Listing

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