Template-Guided Versus Undirected Written Medical Documentation: A Prospective, Randomized Trial in a Family Medicine Residency Clinic

Article Figures & Data

Table 1.

Number of Patients (with percentage of all codes) by Common Billing Codes and Team

	99203	99204	99205	99212	99213	99214	99215	Total of These Codes	Total of All Codes
Template team	19 (3%)	18 (3%)	14 (2%)	56 (9%)	104 (17%)	283 (46%)	27 (4%)	521 (85%)	611
Control team	20 (3%)	11 (2%)	3 (<1%)	77 (12%)	168 (27%)	247 (39%)	18 (3%)	544 (87%)	626

Table 2.

Faculty Satisfaction Survey*

Survey Statement	Response^† (N = 9)
1. I would like to continue using the T-System for Primary Care.	1.00	(0.54)
2. I believe the residents are faster with the T-System for Primary Care.	0.38	(0.74)
3. I believe the residents are more accurate with the T-System for Primary Care.	0.00	(0.93)

Table 3.

Resident Satisfaction Survey*

Survey Statement	Response^† (N = 8)
1. I see patients more quickly using the T-System for Primary Care rather than standard charts.	0.50	(0.93)
2. I collect a more complete database using the T-System for Primary Care rather than the standard charts.	0.00	(0.93)
3. I find the T-System for Primary Care confusing to use.^‡	−0.38	(0.74)
4. Documentation takes less time using the T-System for Primary Care rather than the standard charts.	0.50	(0.93)
5. I spend more time with the patient when I use the T-System for Primary Care.	−0.13	(0.64)
6. The patients are concerned about the checklist approach of the T-System for Primary Care.^‡	−0.75	(0.46)
7. The T-System for Primary Care charts guide my history and physical when I see a patient.	0.25	(0.89)
8. The T-System for Primary Care charts lead me away from the correct workup.^‡	−0.50	(0.54)
9. The differential list at the bottom of the T-System for Primary Care charts has helped me make a diagnosis that I would not have otherwise considered.	−0.25	(0.88)
10. I would like to continue using the T-System for Primary Care.	0.50	(0.93)

* Scale from −2 to +2 where −2 is strongly disagree and +2 is strongly agree.
† Mean response with standard deviation in parentheses.
‡ Question appears as stated. A negative response indicates a favorable impression of the template system.