How does the EHR drive burnout? Let’s count the ways. By understanding this, we can develop countermeasures to lower the impact and reduce the risk of physician burnout. We’ve all seen the studies that show that for every hour we spend with a patient, we spend two hours on administrative work, and we take hours of work home with us each night. But as we’ll see, it’s not all just about ...

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Electronic health records (EHR) have been used for several years. It is the form that physicians use to login sensitive information about their patient. Security and confidentiality of such delicate, valued protected health information (PHI) has historically been a concern, and rightfully so. Over the course of a few years, hacking on broad scales have been common occurrence and PHI is considered a high priority target by such malicious actions. An answer ...

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As many of you know, much of my focus has been on how we can improve health care information technology, and build on the systems that we currently have to make them more user-friendly and less cumbersome. At the crux of the problem is the issue of the disproportionate amount of time they take to navigate and how they turn the noble and personable art of being a doctor, into ...

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An article in Newsweek magazine says, “Artificial intelligence will cure America’s sick health care system” using data and automation to “drive down the costs of health care while increasing effectiveness.” According to Newsweek, it will work like this for diabetes. A company called Virta Health has come up with a smartphone app that is like “a live-in doctor and diabetes coach.” Type 2 diabetics who enroll will enter data such ...

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Mr. X. is a man in his 80s who was cured of his cancer. The question remains: at what cost? The biologic therapy and radiation which eradicated the cancer left him with the inability to swallow and need for permanent PEG tube. Due to overall frailty and multiple comorbidities, he never graduated from the SNF and continues to reside there today. I inherited his care after he completed his definitive treatment in ...

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I have wanted to be a pediatrician since I was eight years old. Growing up, my favorite book was the large medical encyclopedia that sat on the bookshelf in our den. My life has been planned around that singular goal, each step predetermined and in a very specific order. I have thoroughly enjoyed practicing medicine over the last 17 years — first as a primary care pediatrician, then for the ...

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Alan Rickman, Carrie Fisher, Debbie Reynolds, and George Michael. In just this past year, we have lost these four, and millions more, to chronic diseases. The CDC states chronic diseases like heart disease, stroke, and cancer are the leading causes of death and disability in the U.S. All of our lives have been affected by one, if not many, of these illnesses. As health care professionals, we counsel patients to eat ...

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"Medicine is a science of uncertainty and an art of probability." - Sir William Osler Two people presented to my clinic on the same day with classic symptoms of head and neck cancer. Each reported several weeks of unilateral throat discomfort, ear pain, and a neck mass. Each was having some trouble swallowing and had changed his diet to accommodate the soreness. When they opened their mouths, each had a mass with a ...

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Earlier this week, as I write this, our office lost a skirmish against technology. It was my procedure day, where lucky patients file in awaiting the pleasures of scope examinations of their alimentary canals. A few will swallow the scope (under anesthesia), but most will have back-end work done. We are a small private practice equipped with an outstanding staff. We do our best every day to provide them with the ...

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Following my latest article on health care information technology, and how tragic the situation has become for physicians, I received a lot of correspondence. As always with articles that express physicians’ frustrations with the current batch of IT systems, there’s typically a lot of sympathy and agreement (although I believe that just nodding our heads and saying how bad a situation is, doesn’t really mean that ...

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