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http://www.medicaldaily.com/article...-spend-more-time-walking-hospital-patient.htm
I don't even know where to start with this!
I don't even know where to start with this!
http://www.medicaldaily.com/article...-spend-more-time-walking-hospital-patient.htm
I don't even know where to start with this!
I'm not shocked at all by this, actually. We are the highest paid data entry clerks in the world.64% Indirect patient care, placing orders, researching patient history, filling out electronic paperwork
I've found EMRs to do the opposite. Yes, they allow you to easily look, but at the same time, they allow people to spend hours looking over the chart and arguing with you because the patient got stressed 48 months ago or some other inanity.With the new Obamacare healthcare initiative, doctors will have to spend less time combing through medical records, as all records will be electronic and easily searchable. Hopefully this will bring about a change that seems is needed in patient care.
Poorly written, but not surprising. The random radiology paragraph came from where?
EMRs are a nightmare. They make it easy to bill and extract "meaningful" data (har), yet create a document that makes no sense and is impossible to interpret. That, and none of these wonderful systems can talk to each other.
And 7% of IM interns spend their time walking. They aren't called "walking rounds" for nothing. I spent a surprising amount of time walking in my ED. Last time I wore a pedometer, it was easily 10K steps for am 8h shift. Yes, I do a lot of walking. But a spread out department doesn't help.
Something else that really grinds my gears - when asking the pt "So, what other medical problems do you have?" And they say - "just look it up in the computer, it's all in there."
arg
http://www.medicaldaily.com/article...-spend-more-time-walking-hospital-patient.htm
I don't even know where to start with this!
It is a comforting myth that "spending time with patients" is the most valuable things doctors-in-training can do. Often, the time spent with patients is horribly unproductive, inefficient, etc.
The least productive part of my day is "spending time" with patients.
Haha, I hear that.
Doc: "What brings you in Ms. Jones?"
Ms. Jones: "Well it all started two weeks ago last Tuesday when I ate a sandwich...."
I particularly love it when they hand me a page or two of hand-scrawled notes that make limited sense at best:
10:45 AM - ate banana and two grapes, symptoms did not return.
at the other extreme, i remember once when i was in surgery clinic as a medical student the patient handed me a typed h&p with an assessment and plan. Apparently he was a retired surgeon. He told me just to go read it to my attending and come back when the tests were ordered.
I particularly love it when they hand me a page or two of hand-scrawled notes that make limited sense at best:
10:45 AM - ate banana and two grapes, symptoms did not return.
and most of the 4 pages was the allergy list(all cause anaphylaxis)...."water, steroids, epinephrine, sunlight, rhythm and blues music, cocker spaniels, green grapes, tylenol(but not vicodin or percocet, etc)I have a patient who arrived for her first appointment with me with 4 pages of typed PMH and 7 pages of PSH. She is as crazy as you would expect given those findings.
and most of the 4 pages was the allergy list(all cause anaphylaxis)...."water, steroids, epinephrine, sunlight, rhythm and blues music, cocker spaniels, green grapes, tylenol(but not vicodin or percocet, etc)
and most of the 4 pages was the allergy list(all cause anaphylaxis)...."water, steroids, epinephrine, sunlight, rhythm and blues music, cocker spaniels, green grapes, tylenol(but not vicodin or percocet, etc)
I actually had a patient once that said she had an anaphylatic reaction to sunlight. She convinced someone to prescribe her an epi-pen.
At the other extreme, I remember once when I was in surgery clinic as a medical student the patient handed me a typed H&P with an assessment and plan. Apparently he was a retired surgeon. He told me just to go read it to my attending and come back when the tests were ordered.
look at patient satisfactions scores... no matter how you feel about them in general, you can usually pick out who in your group would do well on them. still doesn't hurt to work on interpersonal skills.
My favorite allergy is
Drug x----causes-------death
Her name was not Lazarus
Then why do my scores vary by as much as 30% (from 100 one month to 70 the next, and then back) without my changing my behavior in any intentional way?
I blame the patients. I'd definitely spend more time with patients if they were more interesting as people. When I do indulge their desire to communicate with someone who is being paid well not to point out how a series of increasingly poor life choices has led them to needing emergency medical care, they either choose to vent about their unsolvable psychosocial problems or they believe that giving me every possible detail of their past decade of medical care will somehow make up for their complete lack of insight into their current disease process or ability to form a coherent response to anything more complicated then yes/no questions. YMMV.
and most of the 4 pages was the allergy list(all cause anaphylaxis)...."water, steroids, epinephrine, sunlight, rhythm and blues music, cocker spaniels, green grapes, tylenol(but not vicodin or percocet, etc)
The number of allergies a patient has is inversely proportional to their mental stability !
I blame the patients. I'd definitely spend more time with patients if they were more interesting as people.
Fact: Spending time with patients is less than 1% of doctoring nowadays. This is by no fault of doctors.
dchristismi's rule of thumb: if he's wearing a VFW hat, ask about it.