Educator Preview • UME

Fundamental Concepts

For medical students and early learners

Build confidence with the foundations of EHR navigation, note writing, coding basics, and order entry.

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Preview the first two slides of each module. Register for full access.

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Explore UME Modules

Introduction to EHR Educational Series

Introduction to EHR Educational Series preview

Understand the role of EHRs in modern clinical practice and patient outcomes
Identify common challenges and limitations of current EHR systems
Recognize opportunities to improve personal EHR use throughout the series

Electronic Health Records: An Introduction

Electronic Health Records: An Introduction preview

Differentiate between paper records and electronic health records
Demonstrate basic navigation and good-use practices within an EHR
Apply foundational documentation skills using a simple clinical case

Practicing Fundamental Skills

Practicing Fundamental Skills preview

Review a patient chart.
Observe a patient's follow-up visit.
Practice documenting a patient record and compare your entry to an ideal entry.
Diagnose a patient's condition.
Create an Assessment and Plan for a SOAP note.

The Note: Documentation in an EHR

The Note: Documentation in an EHR preview

Explain the purpose and importance of clinical documentation
Identify key components of a well-written medical note
Recognize documentation expectations across levels of medical training

Introduction to Coding and Billing: ICD-10, CPT, E/M Codes

Introduction to Coding and Billing: ICD-10, CPT, E/M Codes preview

Distinguish between ICD-10, CPT, and E/M code types
Understand how coding supports billing and quality reporting
Apply basic coding concepts using simple documentation examples

Order Entry and Order Sets

Order Entry and Order Sets preview

Understand the purpose and structure of common clinical orders
Practice safe and accurate order entry in an EHR
Respond appropriately to automated clinical decision alerts

Documenting Social Determinants of Health

Documenting Social Determinants of Health preview

Identify the five core Social Determinants of Health and their impact on patient outcomes
Apply best practices for screening and documenting SDOH within the EHR
Use SDOH data to support care planning, referrals, and population health goals

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