Templates in Ask with Dr. Daniel Barnett

Hello everyone, my name is Dr. Barnett and I'm going to show you today some templates that I have created on Doximity Ask. Before showing you, let me walk you through what templates are. So on the left-hand side of the screen you'll see templates. You'll also see a plus button.

I'm going to click on that. Doximity has conveniently provided us with suggested templates, a place where you can name it, instructions and documents.

I like to think of Doximity Ask Templates similar to that of dot phrases that we use in EMRs. The purpose of a dot phrase in an EMR is to reduce clerical burden when you will be typing or writing similar instructions or documentations over and over again. Likewise, I know that there will be instructions that I will submit to Doximity Ask that are similar enough that I don't want to retype the instructions each time. I found that creating these Doximity templates reduces clerical burden on my end and provides me with new tools that can help me do my work more efficiently, accurately, and provide better care to my patients. Let me start with one of my favorite templates that I've created. Down here, I've titled it "Sign Out." As you can see, I've used this template many times.

Here are the instructions that I use for it. Likewise, you could add documents.

The purpose of using the sign-out is to reduce the clerical burden that I typically do each time I come off of an inpatient service.

Warm handoffs are the standard, and I fully recommend doing a warm handoff with each patient that you will be signing off of. In addition, I have found it's helpful to provide written instructions to the incoming provider as something that they can readily refer back to.

Historically, I would spend up to 3 hours documenting patient encounter information and action items when going off of inpatient service. This is a significant clerical burden on each provider. I think one of the biggest difficulties is accurately describing the inpatient stay while also emphasizing up-to-date or relevant action items that the incoming provider needs to be aware of. I have found that using this template reduces my previous clerical burden from 3 hours to about 15 minutes.

Additionally, I have found that this Doximity Ask template is more accurate in conveying the information that's most relevant in the patient chart.

I'm also going to show you a Doximity template that I frequently use to create flashcards. Down here I've labeled it as Anki. The purpose of this is to take information that I am learning and create it into a flashcard system.

I titled it Anki because it helps me take information that I'm learning and create Anki flashcards. I often use the Anki flashcard app to master information.

I have found that when I would wholly rely on myself to create Anki flashcards, the time it would take was significant and often it was monotonous without improving my learning. I created this template so that I can create Anki flashcards quickly and smoothly.

I instruct the template to create high-yield flashcards. I also instruct it to do a variety of formats including fill-in-the-blank, true/false, etc. You can likewise do cloze deletion if that's helpful for you.

The important part here is that I ask it to prepare an output that I can copy and paste into a .txt file that would be suitable for Anki import, to provide a seamless transition from the information that the Doximity Ask template sends me into something that I can upload into my favorite flashcard app.

This process is smooth and saves me a significant amount of time.

Another Doximity Ask template that I love to utilize is patient education handout. This is something that I use to educate my patients.

There are a lot of online resources as well as some resources within individual EMRs that provide basic but oftentimes limiting information for patients. Let's say, for example, you have a patient that's diagnosed with CML. You could readily find information online for your patient and print it off.

What I love about this template is that I can make this information personalized, and I can readily change the reading level depending on the individual patient.

I would like to state that online resources, while beneficial, often appear static. This Doximity Ask template that I've created is very functional and personal.

The last template that I would like to showcase is my note template. For this, you could easily click on H&P or progress note. The beauty of this template is to clean up old patient encounter notes. I think within the field of medicine, it becomes very easy to copy forward patient information in a note.

Unfortunately, this copies all the information, including sometimes inaccurate information, typos, and most concerning, confusing and unorganized data. In the world that we currently practice, where all patients' clinical documentation is largely copy-forwarded, it becomes inevitable for an unfortunate number of patient encounters to be confusing and often misleading.

Oftentimes clinicians will painstakingly edit their previous clinical encounters to make the documentation more organized. This Doximity template offers freedom from that clerical burden to clean up the note for you and provide edits to avoid grammar issues and confusing and misleading assessment and plans.