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Vol. 20 No. 2 (2022): New Horizons: Innovation in Medicine

Engaging Pre-Clerkship and Clerkship Students as Medical Scribes in The Emergency Department

June 21, 2021


The Emergency Department (ED) is a highly stressful and fast-paced environment in which doctors are challenged to efficiently adapt and recall knowledge to make safe patient-care decisions. A literature search was conducted to assess the evidence supporting the benefits of exclusively hiring pre-clerkship and clerkship medical students as medical scribes in the emergency department. Several databases were used to collect a total of (insert#) articles and studies to explore and summarize the benefits of its implementation. These include, but are not limited to, increasing medical student exposure to the specialty of emergency medicine, enhancing their clinical skills, and assisting students to pay-down their medical school-related debt. Furthermore, appointing medical students as scribes is mutually beneficial to the ED by helping to cut down the lengthy wait times for patients and reduce the significantly high rates of emergency physician burnout. We conclude that hiring medical students as scribes in the ED is a potentially beneficial practice that merits further consideration and analysis. 


  1. The Lancet. Physician burnout: a global crisis [Internet]. Vol. 394, The Lancet. Lancet Publishing Group; 2019 [cited 2021 Jun 18]. p. 93. Available from: https://www.
  2. DeWitt D, Harrison LE. The Potential Impact of Scribes on Medical School Applicants and Medical Students with the New Clinical Documentation Guidelines. J Gen Intern Med [Internet]. 2018 Nov 1 [cited 2021 Jun 10];33(11):2002–4. Available from:
  3. Home - Medical Scribes of Canada [Internet]. [cited 2021 Jun 18]. Available from:
  4. Penciner R. Emergency medicine preclerkship observerships: Evaluation of a structured experience. Can J Emerg Med [Internet]. 2009 [cited 2021 Jun 18];11(3):235–9. Available from:
  5. Kwong JC, Dhalla IA, Streiner DL, Baddour RE, Waddell AE, Johnson IL. Effects of rising tuition fees on medical school class composition and financial outlook. CMAJ. 2002;166(8).
  6. Steinbrook R. Medical Student Debt — Is There a Limit? N Engl J Med [Internet]. 2008 Dec 18 [cited 2021 Jun 10];359(25):2629–32. Available from:
  7. Pisaniello MS, Asahina AT, Bacchi S, Wagner M, Perry SW, Wong ML, et al. Effect of medical student debt on mental health, academic performance and specialty choice: A systematic review [Internet]. Vol. 9, BMJ Open. BMJ Publishing Group; 2019 [cited 2021 Jun 10]. p. 29980. Available from:
  8. Walker KJ, Dunlop W, Liew D, Staples MP, Johnson M, Ben-Meir M, et al. An economic evaluation of the costs of training a medical scribe to work in Emergency Medicine. Emerg Med J [Internet]. 2016 Dec 1 [cited 2021 Jun 10];33(12):865–9. Available from:
  10. Healy S, Tyrrell M. Stress in emergency departments: Experiences of nurses and doctors [Internet]. Vol. 19, Emergency Nurse. RCN Publishing Company Ltd.; 2011 [cited 2021 May 14]. p. 31–7. Available from:
  11. Shaban S, Cevik AA, Canakci ME, Kuas C, El Zubeir M, Abu-Zidan F. Do senior medical students meet recommended emergency medicine curricula requirements? BMC Med Educ [Internet]. 2018 Jan 5 [cited 2021 May 14];18(1):8. Available from:
  12. Abdulahad D, Ekpa N, Baker E, Foley KA, Fogel B, Troy &, et al. Being a Medical Scribe: Good Preparation for Becoming a Doctor. # Int Assoc Med Sci Educ [Internet]. 2020 [cited 2021 May 14]; Available from:
  13. O’Keeffe C, Carter A, Mason S. The value of emergency medicine placements for postgraduate doctors: Views of Foundation Year 2 doctors and training leads in the emergency department (ED). Postgrad Med J [Internet]. 2017 Jan 1 [cited 2021 May 14];93(1095):15–9. Available from:
  14. Eley RM, Allen BR. Medical scribes in the emergency department: The scribes’ point of view. Ochsner J [Internet]. 2019 Dec 1 [cited 2021 May 14];19(4):319–28. Available from: /pmc/articles/PMC6928660/
  15. Gharahbaghian L, Hindiyeh R, Langdorf MI, Vaca F, Anderson CL, Kahn JA, et al. The effect of emergency department observational experience on medical student interest in emergency medicine. J Emerg Med. 2011 Apr 1;40(4):458–62.
  16. Gellert GA, Ramirez R, Webster SL. The rise of the medical scribe industry: Implications for the advancement of electronic health records [Internet]. Vol. 313, JAMA - Journal of the American Medical Association. American Medical Association; 2015 [cited 2021 Jun 10]. p. 1315–6. Available from:
  17. Hafer J, Wu X, Lin S. Impact of scribes on medical student education: A mixed-methods pilot study. Fam Med [Internet]. 2018 Apr 1 [cited 2021 Jun 10];50(4):283–6. Available from:
  18. Trzeciak S, Rivers EP. Emergency department overcrowding in the United States: An emerging threat to patient safety and public health [Internet]. Vol. 20, Emergency Medicine Journal. BMJ Publishing Group; 2003 [cited 2021 Jun 19]. p. 402–5. Available from:
  19. Understanding Emergency Department Wait Times | Colleaga [Internet]. [cited 2021 Jun 19]. Available from:
  20. National Ambulatory Care Reporting System metadata (NACRS) | CIHI [Internet]. [cited 2021 Jun 19]. Available from:
  21. ScribeAmerica - Medical Scribe Program for Doctors, Hospitals & Eds [Internet]. [cited 2021 Jun 19]. Available from:
  22. Walker KJ, Ben-Meir M, Phillips D, Staples M. Medical scribes in emergency medicine produce financially significant productivity gains for some, but not all emergency physicians. EMA - Emerg Med Australas [Internet]. 2016 Jun 1 [cited 2021 Jun 19];28(3):262–7. Available from:
  23. Taylor KA, McQuilkin D, Hughes RG. Medical Scribe Impact on Patient and Provider Experience. Mil Med [Internet]. 2019 Apr 2 [cited 2021 Jun 19];184(9–10):388–93. Available from:
  24. Abelev I, Fraser J, Canales DD, Hanson N, Atkinson P, Lewis D. Medical and Undergraduate Student Perceptions on Scribing in an Emergency Department. Cureus [Internet]. 2021 Mar 12 [cited 2021 Jun 10];13(3). Available from:
  25. Bell SK, Delbanco T, Elmore JG, Fitzgerald PS, Fossa A, Harcourt K, et al. Frequency and Types of Patient-Reported Errors in Electronic Health Record Ambulatory Care Notes. JAMA Netw Open [Internet]. 2020 Jun 9 [cited 2021 Jun 18];3(6):205867. Available from:
  26. Rich N. The impact of working as a medical scribe [Internet]. Vol. 35, American Journal of Emergency Medicine. W.B. Saunders; 2017 [cited 2021 Jun 10]. p. 513. Available from:
  27. Graves, P. S., Graves, S. R., Minhas, T., Lewinson, R. E., Vallerand, I. A., & Lewinson, R. T. Effects of medical scribes on physician productivity in a Canadian emergency department: a pilot study. CMAJ Open [Internet]. 2018 [cited 2021 Oct 15];6(3), E360–E364. Available from:
  28. Cabilan CJ and Eley, R. The potential of medical scribes to allay the burden of documentation and enhance efficiency in Australian emergency departments. Emergency Medicine Australasia [Internet]. 2016 [cited 2021 Oct 15];27(6):207-211. Available from:


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