During the implementations, we train the end users by running a mix of training sessions, exercises and on the job support.
We invite each group of users at a specific time, and run through the workflows only relevant to them.
For example: Lab staff for one hour slot in the morning, after that one hour session of IPD nurses , then one hour for registration clerks, then one hour for doctors and so on.
You repeat this for five days, then it’s a decent training plan for a 50-100 bed hospital.
It’s absolutely important you invite staff only who have completed basic computer training.
During the training if you discover that hospital staff cannot do double clicks using a mouse, your EMR training will not make much progress.
For each session, you have to plan for atleast 2 trainers. More trainers the better. One person to lead the session by showing workflows on the projector and others to walk around and help out the attendees. To run 5 days training session( 5 hours/day), including preparation and logistics effort you need to plan for at least 3 trainers.
Regarding teaching methodology, we follow a straightforward approach.
For each groups of users, we decide before hand what all worfkflows we should cover for each session. we show them the workflows on the projector and ask them to repeat the steps themselves on their computer. At the end, we invite them to do the steps on the projector infront of everybody.
The staff who wants more practice are encouraged to come again later in the evening and do practice on their own.
To train the doctors, you would need someone respectable and skilled in medical informatics. It’s best if you can find an EMR expert for a couple of days or a champion from the hospital staff themselves.
After the system go live, the trainers go around the hospital and observe how the users are using the system. In the first week, the staff would need support at their location to carry on with their work.
We have observed that, for the first few days, staff at Lab, Registration and Pharmacy would need full time on the job support. Billing clerks would need help to close the cash counter end of the day.
Developing user materials is a lot of effort. You would have to wait till the configurations are ready so that you get the exact screens to put in the manual. We did this once for Bangladesh. The intention was to develop a manual for each user persona. It’s still in progress.
You could view the documents shared in the google drive: https://drive.google.com/drive/folders/0B2dgg_RayglSMUhhd0o5OWdubWM
Till now we have been using manual efforts to run the end user training sessions. If you have many hospitals using the same set of configurations, you may want to explore how to automate the end user training sessions using videos or e-learning modules. We have not done that before, but that will be worth trying out if the rollout is on a large scale.