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Latest Posts

The Downfall Of EMRs: Capturing Too Much Data

We have a new EMR system.  I like it because I type well.  I’m facile at using a keyboard and touch-screen.  Not everyone in my group is so blessed, and we’ve had some difficulties using the voice-transcription software.  Nevertheless, my gut tells me that in a month or two more, we’ll be getting along with our new system swimmingly.  It’s the sort of thing I have wanted for a while, since I truly hate to dictate; and especially hated dictating the information the nurses had already entered into the computer!

However, I have an issue.  Not so much with our EMR, but with all EMRs.  I have an issue with the deeply-held delusion that computerization will automatically improve charting and patient care.

Some time ago, the inimitable, world famous blogger Dr. Wes (who can be found at ) told me that his facility’s conversion to EMR caused him to spend far more time at the computer than with the patient.  And true to his great wisdom and insight, that’s where I find myself.  It isn’t the location of the computers.  We have portable ‘tough-books’ that can go to the bedside. Read more »

*This blog post was originally published at*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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