In a world where, in a moment, I can order from thousands of items and have them delivered to my doorstep the same or next day at the press of a button without having to re-enter my name, address, and billing information each time, it would seem that filling out paper forms at the doctor’s office by hand to have someone else re-enter the information into a computer that doesn’t ...

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The use of health care information technology has increased exponentially over the last five years, and as a frontline physician, I have seen this change at close quarters. In most of the hospitals I’ve worked in up and down the East Coast, it’s been interesting to observe this transformation. The process has usually started with nurses and then moved on to encompass doctors. It’s overall a good thing, as I 
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Today was like no other day. It was our first day together. Me and my "virtual" scribe — an actual person who seems to "virtually" to exist inside of a Jabra speaker on my desk and so subtlety that I forgot to mute a few times when not seeing patients. The "man" in the Jabra speaker now knows just how long of an appointment I need for my hair, and that ...

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Collaboration is the key. When I think about how hard it is to take care of our patients, and how many different people are involved in their care, it's a wonder that anything ever gets done. We need to simplify systems, and harness the power of the information systems available to us, as well as the promise of the electronic medical record, ...

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More than 200 health organizations have now implemented OpenNotes. Many more are piloting, are soon to implement — or have implemented, and we don’t know it! For more than three years I’ve been fortunate to represent OpenNotes to potential implementers, and I’m confident I’ve heard almost every clinician concern or anxiety regarding what might happen when patients read their own notes. Here are the five most common concerns I’ve heard — ...

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What if each new feature of your medical record came with a description of how it would improve patient value, not just how to use it? Could a simple checklist help to achieve Annals' vision of putting patients first by helping to ensure that health care innovators release only those features that help us improve patient value? Could a simple checklist help organizations reduce ...

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It's 10 p.m. Seven days before Christmas. I'm sitting at work "finishing" up some charts. I am suddenly overcome with anger. What am I doing here right now at this minute? I am helping no one. This work I'm typing away at — trying so hard not to scream — it's hoops. Fucki*g hoops ... for insurance companies. So I can beg them to pay me. Pay me pennies for the hard, good, compassionate, humanitarian ...

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Telemedicine will eventually become a more prominent part of our clinical practice, with the incorporation of artificial intelligence (AI) and social media and networks, and integration with precision medicine in electronic health records. As clinicians and scientists, we should be thinking about where and how these four innovative strategies intersect, so that we can continue to not only contribute to the conversation and direction of these strategies, but also lead ...

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Ageism in health care abounds. Older adults are often overtreated or undertreated for various conditions. The presence of things like fatigue, chronic pain, arthritis, and even cognitive impairment are often accepted as "normal" parts of aging — by physicians and patients alike — despite the fact that many are preventable. According to a recent opinion piece by NBC News, "We medicalize the natural process of ...

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It's always kind of a surprise when you read a patient's chart, and you see an examination of a body part they just don't have. Just the other day, I was reading a consult note on a patient of mine who had been seen by a subspecialist for evaluation of a serious issue, and I received back a long detailed office ...

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