Understanding the EHR impact on physicians during virtual care

As telemedicine becomes a standard part of modern healthcare, understanding the EHR impact on physicians is essential for maintaining high-quality patient care. Specifically, a recent exploratory mixed-methods study investigated how computer use influences physician performance during simulated virtual encounters. Researchers observed that simultaneous documentation often diverts attention from the patient. Consequently, this shift can potentially reduce the patient-centered nature of the interaction. While both staff and resident physicians participated, those with more clinical experience tended to maintain higher levels of patient-centeredness despite the digital distractions.

Managing the EHR impact on physicians and cognitive load

Furthermore, the research highlighted the significant cognitive load imposed by electronic health record (EHR) systems. Although self-reported cognitive load did not always correlate directly with computer use, qualitative analysis revealed clear signs of stress. For instance, many physicians exhibited both verbal hesitations and nonverbal cues of frustration when interacting with the software and the patient at the same time. However, seasoned practitioners often developed strategies to mitigate these stressors. Therefore, the findings suggest that clinical maturity helps doctors navigate complex digital workflows more effectively than their junior counterparts.

Additionally, the study identified that documentation styles significantly influence EHR usage patterns. Some physicians prefer documenting during the visit, while others wait until the encounter ends. Because varied interpretations of documentation tasks can lead to increased stress, providing clear instructions for EHR use is critical, particularly in certification settings. Ultimately, improving EHR usability and providing targeted training remains vital for reducing physician burnout and enhancing the virtual care experience for patients and providers alike.

Frequently Asked Questions

How does EHR use affect patient-centered care?

Simultaneous EHR use can reduce eye contact and active listening, which may make the encounter feel less personal for the patient, although experienced physicians often manage this better.

What signs of stress are associated with EHR use?

Common signs of high cognitive load include verbal pausing, increased screen fixation, and nonverbal cues like physical tension or sighing during the interaction.

Can clinical experience reduce EHR-related burnout?

Yes, research suggests that increased clinical experience helps physicians develop better multitasking skills, allowing them to balance documentation and patient engagement more efficiently.

Disclaimer: This content is for informational and educational purposes only. It does not constitute professional medical advice, diagnosis, or treatment. Refer to the latest local and national guidelines for clinical practice.

References

1. Shah L et al. The Impact of Electronic Health Records on Family Physicians During Simulated Virtual Encounters: Exploratory Mixed Methods Study. JMIR Med Inform. 2026 May 19. doi: 10.2196/84916. PMID: 42155120.


2. Sinsky C, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann Intern Med. 2016;165(11):753-760.


3. Lukasz M, et al. Association of the Usability of Electronic Health Records With Cognitive Workload and Performance Levels Among Physicians. JAMA Netw Open. 2019;2(4):e191709.