Prepared by the VUSM Honor Council<\/p>\n
There are several ethical and legal considerations that influence what is and is not an appropriate use of documentation generated by medical students in the electronic health record. What follows is a summary of the main issues to help you better understand your role as a member of the healthcare team.<\/p>\n
1. Transparency<\/strong> \u2013 It is important for patient care and documentation that all entries made in the medical record are labeled clearly to indicate who the author is and what the author\u2019s role is in the care of each patient.<\/p>\n 2. Accountability<\/strong> \u2013 Each individual who makes an entry in the medical record accepts responsibility for the information contained in that entry.<\/p>\n 3. Plagiarism<\/strong> \u2013 Copying another individual\u2019s ideas or text and presenting it as one\u2019s own without permission and attribution to the source is plagiarism and is a serious academic and professional offense.<\/p>\n 4. Compliance<\/strong> \u2013 There are multiple bodies, including the Center for Medicare and Medicaid Services (CMS) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), who set legal or accreditation requirements for healthcare organizations. These regulations make specific statements about documentation by trainees. For example, CMS regulations specify how services must be provided by teaching physicians (attendings) in order for payment to be made for these services. They also specify very clearly how a student\u2019s documentation may be used in relation to these services. Vanderbilt\u2019s policies for all patients are structured to be in compliance with these regulations. The CMS document Guidelines for Teaching Physicians, Interns, and Residents states, \u201cStudents may document services in the medical record; however, the teaching physician may only refer to the student\u2019s documentation of an E\/M service that is related to the ROS (Review of Systems) and\/or PFSH (Past Medical, Family, and Social History). The teaching physician may not refer to a student\u2019s documentation of physical examination findings or medical decision-making in his or her personal note. If the student documents E\/M services, the teaching physician must verify and redocument the history of present illness and perform and redocument the physical examination and medical decision making activities of the service.<\/em>\u201d<\/p>\n 5. Security<\/strong> \u2013 Access to the secured clinical computing resources at Vanderbilt is a privilege, and there are rules and conditions regarding this access. Each eStar Epic user signs an agreement where, among other things, he or she commits to not share or allow others to use his or her access credentials.<\/p>\n 6. Integrity<\/strong> \u2013 Just because an action is possible in eStar Epic does not mean it is permissible. The functions that are used inappropriately all have appropriate uses. The burden falls on the individual user to use these tools responsibly.<\/p>\n What is wrong with this?<\/strong><\/p>\n 1. The School of Medicine explicitly does not approve of this practice (see 2005 Ad-Hoc Committee statement)<\/p>\n 2. There is not adequate attribution in the finalized note\u2014The final note will be recorded as the resident\u2019s work, and your contribution to the medical record as a student will not be apparent. All student contributions to the EMR should be saved under the student\u2019s name.<\/p>\n 3. Any of your original work remaining in the finalized note will be presented as the resident\u2019s own work (a.k.a plagiarism).<\/p>\n 4. This note will not meet CMS standards for billing, as the ROS and PFSH are the only information composed by a student that may be referenced (not copied) in the official documentation of services. Signing someone else\u2019s documentation as your own is considered falsifying documentation and submitting a false claim.<\/p>\n What is wrong with this?<\/strong><\/p>\n 1. See example above\u2014same issues apply here<\/p>\n 2. This function exists to facilitate transcription (i.e. from dictation), and its presence does not mean that all possible uses are acceptable. If you are putting any independent thought into what is being written, you are not working as a transcriber.<\/p>\n What is wrong with this?<\/strong><\/p>\n 1. See first example above\u2014same issues apply here<\/p>\n 2. This scenario is like the first, but is also inappropriate because it involves performing work under someone else\u2019s access credentials. This is considered a Level 3 violation under the VUMC Sanctions Policy.<\/p>\n When these situations arise during a clinical rotation they can make you uncomfortable. You are a student, and as such are in a vulnerable position. Your residents and attendings are not only your supervisors, they are your evaluators, and the nature of your interactions with them is of understandable importance. In all likelihood, you will face scenarios like these numerous times during your clinical training. The following are some suggestions for how to handle this kind of circumstance.<\/p>\n 1. Be respectful and understanding at all times<\/strong> \u2013 It isn\u2019t always just about saving time; many residents view these tasks as additional ways for students to be meaningfully involved in patient care.<\/p>\n 2. Have solidarity with your classmates<\/strong> \u2013 It is never good when one student on a team is willing to do what another student claims is not permitted. In being consistent throughout the year, your class has the power to help improve this situation for future students as well.<\/p>\n 3. Be familiar with the issues<\/strong> \u2013 That\u2019s why this handout was put together.<\/p>\n 4. Focus on what you are not allowed to do<\/strong> \u2013 In other words, avoid trying to convince residents or attendings that they are doing something wrong. However, it is appropriate to report a pattern of inappropriate behavior to the Associate Dean for Medical Student Affairs or within the VERITAS system.<\/p>\n 5. Try a response like the following<\/strong>:<\/p>\n a. \u201c\u2026The School of Medicine does not permit us to write notes which will not be saved or finalized under our name.\u201d<\/p>\n b. \u201c\u2026I am not allowed to work under another user\u2019s ID and password\u201d<\/p>\n c. \u201c\u2026The School of Medicine requires that all work by students in the medical record be clearly attributed to the student\u201d<\/p>\n 6. Continue to write your own notes in the chart<\/strong> \u2013 This is a great learning tool and an important way to document any work you have done.<\/p>\n 7. Offer to help the team and participate in any way that you are allowed.<\/strong><\/p>\n 8. Talk with your Clerkship Director if the problem persists. If necessary, contact a dean for guidance.<\/strong><\/p>\n If you have further questions or concerns about this topic or a specific situation, please feel free to contact a dean or any member of the Honor Council.<\/p>\nKey Points to Remember<\/h3>\n
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Example Scenarios<\/h3>\n
Your resident asks you to write part or all of a note (H&P, consult note, discharge summary, etc) and \u201cSave as Draft\u201d for her to edit and finalize later.<\/h4>\n
Your resident asks you to write a clinic note using the \u201cWork as Transcriber\u201d function so that he can sign it later.<\/h4>\n
A physician (resident or attending) asks you to write part or all of a note logged in under her user ID for her to edit and finalize later.<\/h4>\n
What should I do when this happens?<\/h3>\n