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Metropolitan General Health System

PMHNP Clinical Learning Environment

New Provider Onboarding · Stop 3

How the simulated EHR works

The Metropolitan General Health System record delivers clinical evidence in a realistic chart structure. It is a source of information—not a place to submit coursework, enter real patient information, or create actual clinical orders.

Inside Metropolitan General Health System

Review the simulated clinical record

  • Read available patient information and clinical updates.
  • Locate evidence across chart sections and encounters.
  • Track changes as the case unfolds over time.
  • Use only fictional information provided in the simulation.
Information source

Inside your course learning platform

Complete and submit assigned work

  • Open assignment directions, templates, and rubrics.
  • Submit clinical reasoning, documentation, and reflections.
  • Complete AI-supported activities when explicitly directed.
  • Review faculty feedback, grades, and announcements.
Student workspace

Chart orientation

Know what each part of the record is for

1 of 4

Clinical purpose

Patient Snapshot

Confirm who the patient is and orient yourself before interpreting the record.

Am I reviewing the correct patient, encounter, and phase?

You may find

  • Demographics and preferred name or pronouns
  • Current location or clinical service
  • Allergies, alerts, and immediate safety flags
  • The current encounter or phase of care

Recommended workflow

Move through each encounter deliberately

1

Orient

Confirm the patient, setting, encounter, and information currently available.

2

Review

Read the available record deliberately; distinguish documented findings from assumptions.

3

Reason

Identify missing information, competing explanations, safety concerns, and priorities.

4

Complete

Use the record to complete the assigned clinical task in your course learning platform.

5

Reevaluate

As the case unfolds, revise your thinking while preserving the clinical timeline.

The EHR can

Provide evidence

It can reveal records, results, collateral, clinical updates, and other fictional information available for the current encounter.

The EHR cannot

Do the reasoning for you

It does not determine the diagnosis, decide the safest plan, or replace your responsibility to interpret conflicting evidence.

You must

Preserve the timeline

Base each response on what was available at that moment and revise your formulation transparently as the record changes.

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