Table 1.

Percentage of Medical Students Who Used, Had Read-Only Access to, and Entered Note or Order Information into an Electronic Health Record (EHR) During Their Internal Medicine Inpatient Clerkship, Outpatient Clerkship, and Sub-internship Experiences, and During Any Clinical Experience by Graduation Year

Internal medicine clinical experience	EHR activity†	Percentage of medical students by graduation year					Percentage change 2016–2012	P value
		2012	2013	2014	2015	2016
Core clerkship inpatient component		N = 1813	N = 2625	N = 2613	N = 4047	N = 5402
	Used a record	84	89	92	94	96	12	< .001
	Read-only access	14	15	13	13	13	− 1	.16
	Entered into record	71	73	79	82	84	13	< .001
Core clerkship outpatient component		N = 1572	N = 2211	N = 2197	N = 3379	N = 4445
	Used a record	77	85	89	92	94	16	< .001
	Read-only access	20	24	21	23	23	3	.01
	Entered into record	57	61	68	69	70	13	< .001
Sub-internship		N = 616	N = 609	N = 552	N = 973	N = 956
	Used a record	86	90	96	97	97	12	< .001
	Read-only access	7	8	6	5	5	− 2	.05
	Entered into record	78	83	89	91	92	14	< .001
Any clinical experience*		N = 616	N = 609	N = 552	N = 973	N = 956
	Used a record	92	96	99	98	99	7	< .001
	Read-only access	6	7	6	4	4	− 2	.04
	Entered into record	86	89	93	94	95	9	< .001

*Includes students who completed a sub-internship and had valid responses for the EHR activity in one or more of their internal medicine clinical experiences

†“Read-only access” and “entered into record” are mutually exclusive subsets of “used a record”