Spending more and more time grappling with electronic health records diminishes the joy of being a clinician because it takes you away from being with the living breathing human being who has come to see you with a medical problem
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@ajlees
also carries risks...how do you take a history and examine the patient if you have to do 4000 clicks on a shift!
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@djnicholl
Its just another of these disastrous technological initiatives foisted upon us by people who clearly have a different idea of what being a good doctor means from us. When my bro was dying in hospital his GP came twice a week
@to
see him. Thats what we all aspire to.
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@estmannmd
Both are potentially reversible although its a long road back because there are so many vested interests in keeping the status quo but we must try
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@ajlees
EHRs originated in the USA and speaking to docs there it seems senior clinicians usually interact with the patient - doing what they do best - while a non-medical scribe or a fellow documents on the EHR
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@prjarman
That may be the start of the long road back. If I were starting all over I would also keep my own hand written records to permit clinical research where the boxes are not fit for neurology or psychiatry purpose
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@ajlees
Where I practice, patients sometimes tend to get in the way of their doctors documenting the case by having all kinds of symptoms or even an urge to talk. If this doesnโt stop, we need to get rid of the patientsโฆ wait
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@ajlees
Yes. The essential narrative of experience of illness rarely fits easily with Procrustean electronic health records
EHRs can be great for in-patient acute management, but often impoverish out-patient care of people with complex brain disorders. A loss to patient and doctor alike
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@ajlees
@dr_shibley
Completely agree. I just cannot do an assessment and typeโฆ still do it on paper Iโm afraid , then add into computer later.!
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