Supporting students with electronic health record-embedded learning AIDS: A mixed-methods study

Sanne Peters, Geraldine Clarebout, Bert Aertgeerts, Jimmie Leppink, Ann Roex

Research output: Contribution to journalArticleResearchpeer-review


Background: Students often perceive workplace-based learning as disconnected from what they learn in medical school. Interventions that deal with this issue regularly involve feedback and/or learning aids. Feedback has frequently been encouraged in previous research, whereas the use of aids is less understood. Objective: This study aims to investigate the added value of learning aids in making the connection and enhancing the transfer of learning between medical school and workplace-based learning. Methods: First-year students in postgraduate general practice training participated in a mixed-methods study. Within a quasi-experimental design, two conditions were investigated: (1) students having access to electronic health record (EHR)-embedded learning aids and feedback and (2) students only receiving feedback. Semistructured interviews were conducted and analyzed according to the thematic analysis approach. Results: Forty-four students participated in this study. No significant difference was found between the two conditions (t42=-0.511, P=.61, 95% CI -4.86 to 2.90). Nevertheless, students used the aids frequently and found them useful. Given that the aids were familiar to students and contained practice-based instructions in an easily accessible format, they were perceived as feasible to use during workplace-based learning. They also appeared to stimulate transfer of learning, self-confidence, reflection, and interaction between student and supervisor. Conclusions: Access to EHR-embedded learning aids offers additional support during, but also before and after, patient encounters. The aids can be easily implemented into workplace-based learning.

Original languageEnglish
Article numbere11351
Number of pages17
JournalJMIR Medical Education
Issue number1
Publication statusPublished - 1 Jan 2019
Externally publishedYes


  • Electronic health record
  • Electronic performance support system
  • Integrated learning
  • Learning AIDS
  • Transfer of learning
  • Workplace learning

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