The practice of medicine is an art based on science. – Sir William Osler This was famously stated over 100 years ago by Dr. Osler, the father of modern medicine and the physician who laid the foundation for professionalism in health care.  In this vein, a panel of experts from Boston-area hospitals and elsewhere recently convened to attack the question, “What needs to change to get doctors back to the patients?”  While the ...

Read more...

I'm feeling meaningfully used today. Once again, we are faced with another set of administrative hurdles, boxes that need to be clicked, tasks that need to be completed, all in the name of demonstrating that we are meaningfully using the electronic health record in which our practice and the federal government have so heavily invested. An "eligible professional summary" arrives in my email, with lots of bars with lines, and green checks ...

Read more...

You may have already seen them -- medical scribes hunched over tablets in hospitals and doctors’ offices, working away like Kim Jong-Un’s omnipresent cadre of note takers (though in this case, they’re actually getting things done). Recently, this piece about the phenomenon was making the rounds in my corner of the Twitterverse. In a conversation with a reach so high that it at one point drew in Dr. Farzad Mostashari (former National Coordinator for ...

Read more...

After decades of bravely keeping them at bay, health care is beginning to be overwhelmed by “fast, cheap, and out of control” new technologies, from BYOD (“bring your own device”) tablets in the operating room, to apps and dongles that turn your smart phone into a Star Trek tricorder, to 3-D printed skulls. (No, not a souvenir of the Grateful Dead, a Harley decoration or a pastry for the Mexican Dia de ...

Read more...

It won’t be long before every patient has a Twitter feed, and doctors subscribe to them for real-time updates. This is a time when the demands of being a physician are changing, and we need to leverage technology to maintain awareness of a huge number of patients. There is also increasing need for handoffs and communication between providers. Here’s the bottom line: How can we improve technology when doctors seem so resistant? ...

Read more...

For physicians, the applications of tablets are endless Medicine is becoming mobile.  Physicians, nurses and other health care providers must be able to quickly assimilate and react to an overwhelming stream of data.  Tablet technologies, such as the iPad, have been incorporated into the workflows of many clinics, emergency rooms and hospitals.  Medical schools and residency programs are quickly adapting the technology for teaching.  While tablets do present some ...

Read more...

For the past couple of years I’ve been working as a traveling physician in 13 states across the U.S. I chose to adopt the locum tenens lifestyle because I enjoy the challenge of working with diverse teams of peers and patient populations. I believe that this kind of work makes me a better doctor, as I am exposed to the widest possible array of technology, specialist experience, and diagnostic ...

Read more...

Computerized physician order entry (CPOE) is being rolled out across our nations’ hospitals. The old days of written, and often illegible, orders from doctors are fast becoming a thing of the past. The potential for this measure to improve patient safety and transform medical practice is unquestionable. As a physician who has worked in several different hospitals since finishing my residency, my time in practice has coincided with the new age ...

Read more...

Health technology must improve patient safetyThis was the dream: We would use technology to create a seamless health care system, one where people, computers and machines would work together to improve patient care in many different ways. Health care would be more efficient, it would be safer, it would be less expensive, we would be able to transfer health-related information quickly and accurately. After ...

Read more...

Writing in the Wall Street Journal, Daniel F. Craviotto Jr. an orthopedist, made a plea to physicians to declare independence from third parties and emancipate themselves from servitude to payers, mandates and electronic health records (EHR). As rants go, this was a first class rant. But its effect was that of a Charles de Gaulle’s whisper to Vichy France rather than a Churchillian oratory at the finest hour. The article went viral ...

Read more...

Most Popular