List of Program EMR's

[HouseofCardz]

I've found 4+1 topic helpful when applying/considering programs in ranking and thought it would be nice to have a similar list of programs and their respective EMRs or lack there of. Im hoping that current residents could chime in on what is currently in use/ whether there are guaranteed changes for next year/ promised changes which never came. Thanks in advance!

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[Raryn]

I've found 4+1 topic helpful when applying/considering programs in ranking and thought it would be nice to have a similar list of programs and their respective EMRs or lack there of. Im hoping that current residents could chime in on what is currently in use/ whether there are guaranteed changes for next year/ promised changes which never came. Thanks in advance!

Seriously? There's like 450 internal medicine programs in this country, more if you add in the DO and military ones, and you want to list them all by what EMR they use?

Look, at this point pretty much everyone is electronic, with a few county hospitals maybe lagging along and planning to switch within the next couple years. EPIC is most common, especially in the big academic centers, followed closely by CERNER. Anywhere that has a VA you'll also be expected to use VistA/CPRS. As far as I know they all have the ability to access charts from home (i.e. remotely) in the way that they're usually implemented.

All of them have pluses and minuses and are occasionally a pain to use, but on the list of things you should give a !@#$ about when it comes to ranking your programs, this is about #1034929084, below whether the bathrooms in the callrooms have heated toilet seats or not. (Being slightly facetious, but not that much)

 

[the argus]

This question invariably gets asked every single interview day for every single program in the country, and I always thought it was pretty silly. My favorite answer came from a chief who replied, "We use ____, but if EMR is one of the factors you are using when choosing a residency program, you are seriously doing it wrong."

 

[HouseofCardz]

Yikes... Did not expect that.
Ive worked in places where there are no emr's, others with a hybrid of paper and emr, and those which are full. And imo it does make a difference in terms of time it takes to round or check if consult services have seen your patient. Furthermore, if you are looking to do retrospective work than it helps to know whether charts are electronic/scanned vs having to dig through a library of files.

With respect to why I ask the question, I have come across programs on the interview trail which appear on rank threads and are still transitioning to full emr and residents have told me that on their interview day they were promised one thing yet they were still writing out notes, orders etc.

 

[the argus]

Sorry if I came off harsh, I was just trying to convey the idea that this really isn't a metric you should be using when ranking programs. Paper charts vs EMR A vs EMR B doesn't matter. Each has their own pros and cons, and you will learn how to maximize your efficiency in whichever platform you use. In my program we rotate through hospitals that use EPIC, Cerner, paper charts, and EMR/paper combinations. Which documentation platform I am using has no affect on the quality of my experience.

No one has ever said, "I really loved the people, location, and opportunities afforded during my residency, but I wouldn't do it again because that EMR was so bad." Or the converse, "I hated the people and location of my residency, and the training was bad. That said, I would totally go back because that EMR was so intuitive and easy to use."

And if on the interview day residents are complaining about promises about EMR platform, I would venture that there are bigger problems in that program than which EMR they use.

 

[gutonc]

With respect to why I ask the question, I have come across programs on the interview trail which appear on rank threads and are still transitioning to full emr and residents have told me that on their interview day they were promised one thing yet they were still writing out notes, orders etc.

If a program does not currently have an EMR but is "getting one soon", you should assume that soon means "after I graduate". That may or may not be true. But at least you won't be disappointed.

And remember that programs (and divisions and departments and the entire school of medicine) have absolutely no control over the EMR (or lack thereof). So judging a program based on that metric is just stupid. I absolutely agree that no EMR, or a s****y EMR, are bad news for a variety of reasons. But that's no reason to move a program down or off your rank list if everything else about it is good.

 

[HouseofCardz]

And remember that programs (and divisions and departments and the entire school of medicine) have absolutely no control over the EMR (or lack thereof). So judging a program based on that metric is just stupid. I absolutely agree that no EMR, or a s****y EMR, are bad news for a variety of reasons. But that's no reason to move a program down or off your rank list if everything else about it is good.

Agreed for the most part. When it comes down to breaking up programs which you feel provide equal education and opportunity then I think it helps.

 

[NYsan]

Penn still has paper charts in the ICU

 

[Elixir6]

Penn has paper charts in the general wards as well. It's likely that in their own minds their institution is too good to need to upgrade anything because it's penn. The ordering and labs are electronic at least.

 

[Crayola227]

Yeah frankly I don't think I could work with paper, like LITERALLY COULD NOT for various reasons, one having to do with writing by hand and reading atrocious handwriting, and running all over trying to find a chart, and the other being... Jesus Christ there's a list. In my rotations I worked with both and WHAT A ****ING ****SHOW.

It's frankly dangerous IMHO and I'm not the only one to say so. And you don't want to work at a dangerous program.

So while I feel an EMR is essential, (and really what kind of ****ing program is this where they haven't found the money to make the move? again not somewhere I want to be necessarily) which particular EMR isn't that important I guess. I dunno I think it's not so much just the EMR but more what it says about a place that they are still on paper.

I will be honest I had serious problems with efficiency, and watching fellow interns flounder with an unfamiliar EMR (which was thankfully familar to me or someone may have died, me or a patient), for me it would honestly be a factor. Not the most important, but like someone said if you're truly truly split it might matter, or if you really feared for your computer/efficiency skills.

Whether it matters or not, I think it's legit that this person wanted to start a thread figuring out who does what where even if it's a minor detail, and I don't see why not, or why people gotta jump in here just to hate on the concept. Just another chance to put someone down I guess.

TLDR
paper blows
EMRs not the most important factor by any means but likely means the hospital is broke and inefficient
still it's a nice thing to know about a program IMHO, more power to you OP on this thread
haters gonna hate
when you match and find out the EMR where you're going definitely start thinking about how to train for it, I made a lot of love to the EMR during orientation week before I was inundated with responsibility and it was a good thing, got some templates made etc

 

[IMreshopeful]

Yeah frankly I don't think I could work with paper, like LITERALLY COULD NOT for various reasons, one having to do with writing by hand and reading atrocious handwriting, and running all over trying to find a chart, and the other being... Jesus Christ there's a list. In my rotations I worked with both and WHAT A ****ING ****SHOW.

It's frankly dangerous IMHO and I'm not the only one to say so. And you don't want to work at a dangerous program.

So while I feel an EMR is essential, (and really what kind of ****ing program is this where they haven't found the money to make the move? again not somewhere I want to be necessarily) which particular EMR isn't that important I guess. I dunno I think it's not so much just the EMR but more what it says about a place that they are still on paper.

I will be honest I had serious problems with efficiency, and watching fellow interns flounder with an unfamiliar EMR (which was thankfully familar to me or someone may have died, me or a patient), for me it would honestly be a factor. Not the most important, but like someone said if you're truly truly split it might matter, or if you really feared for your computer/efficiency skills.

Whether it matters or not, I think it's legit that this person wanted to start a thread figuring out who does what where even if it's a minor detail, and I don't see why not, or why people gotta jump in here just to hate on the concept. Just another chance to put someone down I guess.

TLDR
paper blows
EMRs not the most important factor by any means but likely means the hospital is broke and inefficient
still it's a nice thing to know about a program IMHO, more power to you OP on this thread
haters gonna hate
when you match and find out the EMR where you're going definitely start thinking about how to train for it, I made a lot of love to the EMR during orientation week before I was inundated with responsibility and it was a good thing, got some templates made etc

My residency had paper charts until we switched to an EMR fully within the last year. We survived just fine without getting all upset about it. I even did research using the previous labs and orders only EMR. Our hospital is also not broke and inefficient, it's just a lot of effort and time and training to implement. You made a ton of assumptions - some completely off base - in this post of yours.

I wholeheartedly concur with everyone who says that EMR type or preference should not factor greatly into your residency program choice. I'd rather stick with paper charts and deal with it if it means matching the fellowship of my choice (as I was able to do by going to my current program).

 

[the argus]

Yeah frankly I don't think I could work with paper, like LITERALLY COULD NOT for various reasons, one having to do with writing by hand and reading atrocious handwriting, and running all over trying to find a chart, and the other being... Jesus Christ there's a list. In my rotations I worked with both and WHAT A ****ING ****SHOW.

It's frankly dangerous IMHO and I'm not the only one to say so. And you don't want to work at a dangerous program.

So while I feel an EMR is essential, (and really what kind of ****ing program is this where they haven't found the money to make the move? again not somewhere I want to be necessarily) which particular EMR isn't that important I guess. I dunno I think it's not so much just the EMR but more what it says about a place that they are still on paper.

I will be honest I had serious problems with efficiency, and watching fellow interns flounder with an unfamiliar EMR (which was thankfully familar to me or someone may have died, me or a patient), for me it would honestly be a factor. Not the most important, but like someone said if you're truly truly split it might matter, or if you really feared for your computer/efficiency skills.

Whether it matters or not, I think it's legit that this person wanted to start a thread figuring out who does what where even if it's a minor detail, and I don't see why not, or why people gotta jump in here just to hate on the concept. Just another chance to put someone down I guess.

TLDR
paper blows
EMRs not the most important factor by any means but likely means the hospital is broke and inefficient
still it's a nice thing to know about a program IMHO, more power to you OP on this thread
haters gonna hate
when you match and find out the EMR where you're going definitely start thinking about how to train for it, I made a lot of love to the EMR during orientation week before I was inundated with responsibility and it was a good thing, got some templates made etc

The hospitals I work at that use paper/EMR combo are neither broke nor inefficient. Frankly, I think it's much more dangerous to be taken care of by a resident that "LITERALLY COULD NOT" write out a progress note by hand, or one that couldn't adapt to something as trivial as a different EMR. Maybe the reason you couldn't use a paper EMR is because you seem incapable of expressing any thought or opinion in less than 300 words...

 

[Raryn]

The hospitals I work at that use paper/EMR combo are neither broke nor inefficient. Frankly, I think it's much more dangerous to be taken care of by a resident that "LITERALLY COULD NOT" write out a progress note by hand, or one that couldn't adapt to something as trivial as a different EMR. Maybe the reason you couldn't use a paper EMR is because you seem incapable of expressing any thought or opinion in less than 300 words...

I just liked this post, then unliked it just so I could like it again.

 

[Elixir6]

Yeah frankly I don't think I could work with paper, like LITERALLY COULD NOT for various reasons, one having to do with writing by hand and reading atrocious handwriting, and running all over trying to find a chart, and the other being... Jesus Christ there's a list. In my rotations I worked with both and WHAT A ****ING ****SHOW.

It's frankly dangerous IMHO and I'm not the only one to say so. And you don't want to work at a dangerous program.

So while I feel an EMR is essential, (and really what kind of ****ing program is this where they haven't found the money to make the move? again not somewhere I want to be necessarily) which particular EMR isn't that important I guess. I dunno I think it's not so much just the EMR but more what it says about a place that they are still on paper.

I will be honest I had serious problems with efficiency, and watching fellow interns flounder with an unfamiliar EMR (which was thankfully familar to me or someone may have died, me or a patient), for me it would honestly be a factor. Not the most important, but like someone said if you're truly truly split it might matter, or if you really feared for your computer/efficiency skills.

Whether it matters or not, I think it's legit that this person wanted to start a thread figuring out who does what where even if it's a minor detail, and I don't see why not, or why people gotta jump in here just to hate on the concept. Just another chance to put someone down I guess.

TLDR
paper blows
EMRs not the most important factor by any means but likely means the hospital is broke and inefficient
still it's a nice thing to know about a program IMHO, more power to you OP on this thread
haters gonna hate
when you match and find out the EMR where you're going definitely start thinking about how to train for it, I made a lot of love to the EMR during orientation week before I was inundated with responsibility and it was a good thing, got some templates made etc

Are you serious? Like really cereal about this??? I think you *may* have blown things out of proportion just a tiny bit.

Personally I am not going to base ranking on EMR, but if I had a fairy wand I would certainly change the EMR (or lack there of) at any institution I match at into EPIC. I mean it's like the main interface you are working with throughout the day so I think it makes a big difference in efficiency, so I don't think it's unimportant, just not something that is going to affect my career and fellowship match down the line.

The hospitals I work at that use paper/EMR combo are neither broke nor inefficient. Frankly, I think it's much more dangerous to be taken care of by a resident that "LITERALLY COULD NOT" write out a progress note by hand, or one that couldn't adapt to something as trivial as a different EMR. Maybe the reason you couldn't use a paper EMR is because you seem incapable of expressing any thought or opinion in less than 300 words...

LMAO - spot on.... haha, >300 words.... so long it always has to end with TLDR to summarize

 

[Crayola227]

The hospitals I work at that use paper/EMR combo are neither broke nor inefficient. Frankly, I think it's much more dangerous to be taken care of by a resident that "LITERALLY COULD NOT" write out a progress note by hand, or one that couldn't adapt to something as trivial as a different EMR. Maybe the reason you couldn't use a paper EMR is because you seem incapable of expressing any thought or opinion in less than 300 words...

I can write by a progress note by hand but I have actual medical problems with my hands, so places that had EMR & Dragon integrated were important to me from a physical standpoint. And yeah sorry a hard time reading doc handwriting. I never said I couldn't adapt to a different EMR just that me personally I would try to avoid that. I don't know why you needed to invoke Burnett's Law here. And as far as Burnett's Law I certainly hope that the communications I see many of you making here and the general attitudes are not a reflection of your work persona, much as my posts are not a reflection of mine when at work. If it's true for you I don't know why in the world someone wouldn't think it were true for me as well.

Maybe I am biased in that the places I went to on paper were run-down county hospitals where the residents, including the chiefs trying to recruit us for Chrissakes were telling us how awful it was being on paper. And the rotations I did with residents comparing the systems. Sure some places I'm sure it's great. Thanks to those offering another view on paper charts and the hospitals that use them. I don't feel the need to put you guys down for having a different experience than mine. I never insult any of you for expressing dissenting opinions or experiences. I think it's a mark of maturity.

And in response to the constant bitching I added a TLDR feature. I don't write these posts for dinguses that think they know it all, but for the people looking for info. I write these in my spare time and I write my thoughts out, it helps me collect my thoughts and create a summary. Sorry I don't do that all in my head. Of course, it's not good enough for you that I write here and then summarize it in response to your criticisms. The reality is you just don't like what I have to say. But keep the put downs coming I'm sure they're more useful in these threads than long posts explaining my thought process for advice followed by a summary, much as uptodate offers in depth stuff followed by a summary at the end.

Many people find physicians overly terse, that they don't teach enough, explain enough. Much of the communication you prize is really better physician to physician in a healthcare setting. Transactional communication I've heard it called. Through my entire medical career while physicians find me verbose (sorry) I have been consistently praised for the quality of my communication to students in teaching, and teaching patients, for being complete, explaining my thought process in more than one way to ensure understanding. In any case, I tend toward the latter style when I am advising people in an online forum where time is not of the essence necessarily, and feel free to skip my posts. We all have strengths and weaknesses as professionals, I'm open about mine. I added TLDR to work on mine. I get a lot of hate from the old timers but I frequently get PMs thanking me for completeness from the audience I'm trying to advise. So whatever guys. I wish the put downs would stop but they won't.

TLDR
you just don't like what I have to say so nothing makes you people happy including a TLDR feature
the posts I write here are not reflective of my progress notes what a silly idea
my communication in advising style is different than my professional at work style
I don't write these for know-it-alls but those who might want to read them, block them or skim or skip if you find it so bothersome
I expressed my own opinion/experience of paper charts vs EMR, take it for what you will, I'm sure it's not true everywhere
each applicant will have to decide for them personally how important dictation vs paper vs EMRs are to them, they are clearly not the most important factor

 

[gutonc]

I can write by a progress note by hand but I have actual medical problems with my hands, so places that had EMR & Dragon integrated were important to me from a physical standpoint.
(large amount of rambling text deleted)
TLDR
you just don't like what I have to say so nothing makes you people happy including a TLDR feature
the posts I write here are not reflective of my progress notes what a silly idea
my communication in advising style is different than my professional at work style
I don't write these for know-it-alls but those who might want to read them, block them or skim or skip if you find it so bothersome
I expressed my own opinion/experience of paper charts vs EMR, take it for what you will, I'm sure it's not true everywhere
each applicant will have to decide for them personally how important dictation vs paper vs EMRs are to them, they are clearly not the most important factor

I understand your posting style so much better now. You're not typing your replies, you're dictating them. Which explains why, like most dictated notes, they contain a lot of words but very little actual information.

I can type a consult note which relays all the relevant and important clinical information in under 5 minutes, but if I had to explain it to the referring physician, it would take me half an hour at least.

 

[Elixir6]

I can write by a progress note by hand but I have actual medical problems with my hands, so places that had EMR & Dragon integrated were important to me from a physical standpoint. And yeah sorry a hard time reading doc handwriting. I never said I couldn't adapt to a different EMR just that me personally I would try to avoid that. I don't know why you needed to invoke Burnett's Law here. And as far as Burnett's Law I certainly hope that the communications I see many of you making here and the general attitudes are not a reflection of your work persona, much as my posts are not a reflection of mine when at work. If it's true for you I don't know why in the world someone wouldn't think it were true for me as well.

Maybe I am biased in that the places I went to on paper were run-down county hospitals where the residents, including the chiefs trying to recruit us for Chrissakes were telling us how awful it was being on paper. And the rotations I did with residents comparing the systems. Sure some places I'm sure it's great. Thanks to those offering another view on paper charts and the hospitals that use them. I don't feel the need to put you guys down for having a different experience than mine. I never insult any of you for expressing dissenting opinions or experiences. I think it's a mark of maturity.

And in response to the constant bitching I added a TLDR feature. I don't write these posts for dinguses that think they know it all, but for the people looking for info. I write these in my spare time and I write my thoughts out, it helps me collect my thoughts and create a summary. Sorry I don't do that all in my head. Of course, it's not good enough for you that I write here and then summarize it in response to your criticisms. The reality is you just don't like what I have to say. But keep the put downs coming I'm sure they're more useful in these threads than long posts explaining my thought process for advice followed by a summary, much as uptodate offers in depth stuff followed by a summary at the end.

Many people find physicians overly terse, that they don't teach enough, explain enough. Much of the communication you prize is really better physician to physician in a healthcare setting. Transactional communication I've heard it called. Through my entire medical career while physicians find me verbose (sorry) I have been consistently praised for the quality of my communication to students in teaching, and teaching patients, for being complete, explaining my thought process in more than one way to ensure understanding. In any case, I tend toward the latter style when I am advising people in an online forum where time is not of the essence necessarily, and feel free to skip my posts. We all have strengths and weaknesses as professionals, I'm open about mine. I added TLDR to work on mine. I get a lot of hate from the old timers but I frequently get PMs thanking me for completeness from the audience I'm trying to advise. So whatever guys. I wish the put downs would stop but they won't.

TLDR
you just don't like what I have to say so nothing makes you people happy including a TLDR feature
the posts I write here are not reflective of my progress notes what a silly idea
my communication in advising style is different than my professional at work style
I don't write these for know-it-alls but those who might want to read them, block them or skim or skip if you find it so bothersome
I expressed my own opinion/experience of paper charts vs EMR, take it for what you will, I'm sure it's not true everywhere
each applicant will have to decide for them personally how important dictation vs paper vs EMRs are to them, they are clearly not the most important factor

You seem like a real nice guy/gal, but for someone who is constantly doling out advice about this that and the other on SDN, you aren't very good at taking advice/criticism yourself. Maybe you don't want or need my unsolicited advice, but try and see what people are writing here. They don't have a vendetta against you - you're just a profile in a forum. The reason you are getting so much flak is because your posts are becoming more and more comical, except you don't realize it.

TLDR
Try to avoid the urge to make constant lengthy posts when you actually have nothing substantive to add to the conversation (even to the newbies reading). Again, you seem like a genuinely nice person so this is not supposed to be "putting you down" but maybe help you understand why you are becoming the butt of the joke

 

[Crayola227]

You seem like a real nice guy/gal, but for someone who is constantly doling out advice about this that and the other on SDN, you aren't very good at taking advice/criticism yourself. Maybe you don't want or need my unsolicited advice, but try and see what people are writing here. They don't have a vendetta against you - you're just a profile in a forum. The reason you are getting so much flak is because your posts are becoming more and more comical, except you don't realize it.

TLDR
Try to avoid the urge to make constant lengthy posts when you actually have nothing substantive to add to the conversation (even to the newbies reading). Again, you seem like a genuinely nice person so this is not supposed to be "putting you down" but maybe help you understand why you are becoming the butt of the joke

to be fair I don't mind the jokes about me having long posts, sometimes they make me smile
I hope my posts border on the dramatic-comical while retaining some pearl, entertainment/information

I guess I do kinda post stream of consciousness/one-sided conversational style posts, to be fair I'm often exhausted and confused
I do an unholy mix of dictation and typing at work, they are VERY different skills, I mean you are actually using different parts of your brain processing when you speak a note vs write, on SDN I'm not dictating but I find going back and forth is its own skill
I do all this thinking/writing and then come to the point of a TLDR and go, holy crap, I can't believe how much shorter this is
the truth is that these posts and then a TLDR is actually proving to be a very helpful exercise for me, and it was actually your guys' comments that has spurned me to do it

TLDR
let's have a laugh
I don't dictate SDN posts but my brain gets confused
I'll keep doing TLDR it's good for my brain and hopefully will make me a more useful poster in the long run
thank for these replies guys

 

[235009]

Back to the original topic:
As someone who has experienced paper charts in med school and used several EMRs I definitely think that whether or not a program has an emr is a very valid metric by which to judge. Paper charts are absolutely awful. You can't read anything anyone else wrote and you have to transcribe information like labs etc at times. Needless to say nowadays everyone also types more quickly than they write. Lack of emr was essentially a disqualifying factor for a program in my residency and fellowship search. It's just too much of a hassle when doing chart reviews and being able to work at the pace that is expected in today's healthcare environment.

 

[bigburrito23]

I think it's a perfectly valid aspect of a program to look into, a bad EMR can be dangerous to patients while a good one can make you extremely efficient and improve patient care. The 'adaptation' argument for using a crappy system is a joke and the people who make it should go take a horse and buggy to work and fax instead of email to keep working on their invaluable 'adaptation' to crappy systems skills.

Some posters here appear to love jumping into threads just to berate people on how their question is stupid and isn't something anyone should be considering in a residency program...

 

[buonassezia]

Ok, so back to the main point of this thread.
Here's a smattering of what I remember from the interview days. Please correct PRN and add.

Emory:
Emory University Hospital: EPIC?
Grady Hospital: AllScripts?
VA: CPRS

Mount Sinai:
Sinai: EPIC
Elmhurst: Quadramed
VA: CPRS

UTSW:
Parkland: EPIC
University Hospital: EPIC
VA: CPRS

NYU:
Bellevue: (?)
Tisch: EPIC
VA: CPRS

Wisconsin:
UW: EPIC
VA: CPRS
Merriter: (?)

Colorado:
Denver Health: Paper charts, switching to EPIC in April 2016 (before matriculation of this intern class)
University Hospital: ? (some other thing)
VA: CPRS
Presbyterian/St. Luke's: ?

Brown:
RI Hospital: LifeChart(?) or EPIC(?)
Miriam: ?
VA: CPRS

Yale:
Yale-New Haven Hospital: EPIC?
Waterbury campus: ?
VA: CPRS

 

[buonassezia]

P.S. We should start a whole new thread called "Meta-analyses of other threads." That way, all the bitching about whether or not a thread ought to even exist can all get gathered together, and the people who find any merit in the subject whatsoever can simply click on the appropriately-named link, and get down to the business of discussing the information pertaining to the title.

 

[Crayola227]

While I think it is valid to note if VA rotations are part of a residency program, I don't think you need to list CPRS as the EMR as that is essentially a given. I'm not sure there IS a VA anywhere on a different system.

 

[CatFactorial]

Ok, so back to the main point of this thread.
Here's a smattering of what I remember from the interview days. Please correct PRN and add.

Emory:
Emory University Hospital: EPIC?
Grady Hospital: AllScripts?
VA: CPRS

Mount Sinai:
Sinai: EPIC
Elmhurst: Quadramed
VA: CPRS

UTSW:
Parkland: EPIC
University Hospital: EPIC
VA: CPRS

NYU:
Bellevue: (?)
Tisch: EPIC
VA: CPRS

Wisconsin:
UW: EPIC
VA: CPRS
Merriter: (?)

UAB:
Cerner/Impact
VA: CPRS

Colorado:
Denver Health: Paper charts, switching to EPIC in April 2016 (before matriculation of this intern class)
University Hospital: ? (some other thing)
VA: CPRS
Presbyterian/St. Luke's: ?

Brown:
RI Hospital: LifeChart(?) or EPIC(?)
Miriam: ?
VA: CPRS

Yale:
Yale-New Haven Hospital: EPIC?
Waterbury campus: ?
VA: CPRS

 

[buonassezia]

While I think it is valid to note if VA rotations are part of a residency program, I don't think you need to list CPRS as the EMR as that is essentially a given. I'm not sure there IS a VA anywhere on a different system.

True. Totally redundant. A few programs aren't affiliated with a VA, which is notable (e.g. Tufts). In the case of programs with multiple sites and EMRs, those who don't work at a VA during med school (like me) will have yet another EMR system to learn. Helped me to think, will I be learning 4 new EMRs here, or 1-2?

Just listed them out to jog my memory, but yeah, did not need to be stated. Then again, it didn't need to be stated that it didn't need to be stated...

 

[bigburrito23]

Brown:
RI Hospital: LifeChart(?) or EPIC(?)
Miriam: ?
VA: CPRS

Colorado:
Denver Health: Paper charts, switching to EPIC in April 2016 (before matriculation of this intern class)
University Hospital: ? (some other thing)
VA: CPRS
Presbyterian/St. Luke's: ?

Emory:
Emory University Hospital: EPIC?
Grady Hospital: AllScripts?
VA

Georgetown:
Cerner at non-VA sites

Mayo:
Mayo: Center currently, EPIC in 2017

Mass Gen:
EPIC starting this spring

Michigan:
EPIC except at VA

Mount Sinai:
Sinai: EPIC
Elmhurst: Quadramed
VA

NYU:
Bellevue: (?)
Tisch: EPIC
VA

Stanford
EPIC at all sites except VA

University of Chicago
UChicago Hospital: EPIC

UCSD
EPIC at all sites except VA

UCSF
Moffit: EPIC
SFGH: other system
VA

UTSW:
Parkland: EPIC
University Hospital: EPIC
VA

Wisconsin:
UW: EPIC
Merriter: EPIC
VA

Yale:
Yale-New Haven Hospital: EPIC?
Waterbury campus: ?
VA: CPRS

 

[HelpPleaseMD]

Brown:
RI Hospital: LifeChart(?) or EPIC(?)
Miriam: ?
VA: CPRS

Colorado:
Denver Health: Paper charts, switching to EPIC in April 2016 (before matriculation of this intern class)
University Hospital: ? (some other thing)
VA: CPRS
Presbyterian/St. Luke's: ?

Emory:
Emory University Hospital: EPIC?
Grady Hospital: AllScripts?
VA

Georgetown:
Cerner at non-VA sites

Mayo:
Mayo: Center currently, EPIC in 2017

Mass Gen:
EPIC starting this spring

Michigan:
EPIC except at VA

Mount Sinai:
Sinai: EPIC
Elmhurst: Quadramed
VA

NYU:
Bellevue: (?) Quadramed
Tisch: EPIC
VA

Stanford
EPIC at all sites except VA

University of Chicago
UChicago Hospital: EPIC

UCSD
EPIC at all sites except VA

UCSF
Moffit: EPIC
SFGH: other system
VA

UTSW:
Parkland: EPIC
University Hospital: EPIC
VA

Wisconsin:
UW: EPIC
Merriter: EPIC
VA

Yale:
Yale-New Haven Hospital: EPIC?
Waterbury campus: ?
VA: CPRS

 

[IMreshopeful]

I think it's a perfectly valid aspect of a program to look into, a bad EMR can be dangerous to patients while a good one can make you extremely efficient and improve patient care. The 'adaptation' argument for using a crappy system is a joke and the people who make it should go take a horse and buggy to work and fax instead of email to keep working on their invaluable 'adaptation' to crappy systems skills.

Some posters here appear to love jumping into threads just to berate people on how their question is stupid and isn't something anyone should be considering in a residency program...

So you'd pass up going to a top tier program that you otherwise like in favor of a crappy program that's got a good EMR? There is some degree of adaptation that people will be willing to get accustomed to.

 

[dozitgetchahi]

I didn't look too closely at which EMR was being used when I went interviewing, but I did care about whether or not a place had an EMR or was still using paper charts. My medical school used paper charts and I think they're an abomination. Any program still using paper charts went straight to the bottom of the rank list.

 

[dozitgetchahi]

So you'd pass up going to a top tier program that you otherwise like in favor of a crappy program that's got a good EMR? There is some degree of adaptation that people will be willing to get accustomed to.

Crappy EMRs really, really, really suck. Our county hospital uses this homegrown EMR that has some good ideas and features but also has several elements that slow you down considerably and open the doors to massive amounts of errors (example: for reasons that are too complicated to bother explaining, all orders entered via the EMR have to be printed by a nurse and then manually reentered into a different computerized system...if order sheets get lost from a printer, that order is effectively 'lost' and won't get completed unless the nurse reprints it...you end up having to hound the nurses constantly about orders).

A good EMR can be a real help, while a crappy EMR is a constant handicap. I 'adapted' to it while I was a resident, but I'm also getting sick of the crappy EMR and am looking forward to fellowship at a place that uses only Epic. (Ironically, this county hospital will itself move to Epic the fall after I leave.)

 

[JoeyB]

While I don't think parsing programs based on different emrs/ehrs has much validity to it I'm surprised to see people call considering lack of emr entirely a stupid criteria to judge.

I think the latter shows how far behind the changing landscape of medicine the academic world is. With payment reform you are going to need to understand population health, how to utilize registries, track and improve quality metrics, do pdsa cycles. You are going to pull your hair out trying to get reports out of your ehr database. That's the future and in the real world it's already here. You can't do **** without an emr that just the reality of informatics. Cms has crazy aggressive plans to move payments into risk based models. You can't survive in that world unless you can control and interpret your data. It's already asymmetric data warfare( that's my term ) between payors and docs with ehrs. Without one you are gonna be road kill.

So if you don't want to learn anything about this stuff be sure to go to a residency on paper.

That said I don't think most residencies have any clue how to train the next generation of doctors. It's very concerning since the profession is going to loose more control to the corporate forces if we can't fight evenly in the data game.