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A question for the community.
As a 2nd year resident, while still trying to keep up with the reading/studying, I'm actively working on increasing my efficiency. This is to both learn to move more patients as well as to see more cases. I see that within my department a resident's ability to see more patients can vary quite a bit. We have 3rd years who routinely plow through 3 patients an hour. Others struggle with 1.5-2.0/hr. It's an Epic EMR system which can be a help and a hinderance. I'm looking for discussion on efficiency improvements or pitfalls along the entire course of the patient visit. Some generalizations I've noted that tend to improve speed:
1) Start orders early.
2) Dispo prior to seeing another if possible.
3) Avoid batching.
4) Use macros.
5) Don't staff after each patient.
etc.
I think my personal pitfalls are:
- Getting stuck in rooms for too long.
- Waffling on decisions (I imagine this improves with more experience).
- Falling hopelessly behind in charts.
- Interruption of flow w/ procedures.
So, just looking to spark a fresh conversation about what others have found helpful or hurtful in their practice. I understand that experience will = increased speed but in the meantime I'd like to examine problem areas or bad habits that contribute to slow down. Was there something you discovered that seemed to increase your efficiency markedly? Was there a bad habit that you developed to grind your flow to a halt? Does charting in the room speed things up or is it quicker to sit at a computer after the patient interview? Is there a macro or text template you've found to speed things up?
Thanks in advance.
As a 2nd year resident, while still trying to keep up with the reading/studying, I'm actively working on increasing my efficiency. This is to both learn to move more patients as well as to see more cases. I see that within my department a resident's ability to see more patients can vary quite a bit. We have 3rd years who routinely plow through 3 patients an hour. Others struggle with 1.5-2.0/hr. It's an Epic EMR system which can be a help and a hinderance. I'm looking for discussion on efficiency improvements or pitfalls along the entire course of the patient visit. Some generalizations I've noted that tend to improve speed:
1) Start orders early.
2) Dispo prior to seeing another if possible.
3) Avoid batching.
4) Use macros.
5) Don't staff after each patient.
etc.
I think my personal pitfalls are:
- Getting stuck in rooms for too long.
- Waffling on decisions (I imagine this improves with more experience).
- Falling hopelessly behind in charts.
- Interruption of flow w/ procedures.
So, just looking to spark a fresh conversation about what others have found helpful or hurtful in their practice. I understand that experience will = increased speed but in the meantime I'd like to examine problem areas or bad habits that contribute to slow down. Was there something you discovered that seemed to increase your efficiency markedly? Was there a bad habit that you developed to grind your flow to a halt? Does charting in the room speed things up or is it quicker to sit at a computer after the patient interview? Is there a macro or text template you've found to speed things up?
Thanks in advance.
