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The Tired Medical Blogger

November 28th, 2011 by Michael Sevilla, M.D. in Opinion
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Ever feel like you’re kind of stuck and you need a change? I was there last week. With the upcoming Thanksgiving week, life was adding more stress that was difficult to handle. For weeks now, I felt like I was taking all my efforts and playing catch up. Don’t get me wrong. I’m very happy where I’m at right now professionally and personally. I was just tired.

“Social Media Fatigue” is a dirty little secret that the early adopters never write about – especially those in health care social media. That’s why I was surprised when a few months ago, my good friend, Seattle Mama Doc wrote the post “Online Sabbitical.”

I’m taking an online sabbatical this month. Consider this an act of both self-reflection and self-awareness but also an act of self-preservation. As any blogger knows, blogging every few days, taking photographs daily, approving and responding to comments 24 hours a day (7 days a week), while authoring content in your head every few paces, is an entirely consuming experience. Blogging has completely changed my life. And this job is an utter privilege… But I’ve been consuming media, blogging, and authoring content without reprieve since November 11, 2009.

Now, my blogging frequency and my podcast frequency have Read more »

*This blog post was originally published at Family Medicine Rocks Blog*

Sometimes Little Changes Can Add Up: The Extra Work Of The EMR

November 12th, 2011 by DrWes in Opinion
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“I estimate these changes to your charting work flow will take only five minutes.”

Five minutes is fine if it happens for only one patient. But when it is multiplied by as many as forty patients in a day, the multiples get impressive. Five minutes x forty patients = 200 minutes (more than 1.5 hours a day).

Minor five-minute changes to administrative charting requirements aren’t so minor, especially when you add more time for quality assurance reporting or pay-for-performance initiatives. Suddenly huge swaths of time from a doctor’s opportunity to take care of their patients. We need more care time and less data entry time. Doctors must insist that we not become data entry clerks.

Increasingly, I see the data entry burdens of regulatory health care documentation requirements falling on doctors. On first blush, this seems logical because only doctors (or very capable, highly trained surrogates) understand the nuances required to make potentially life-altering adjustments to the electronic medical record. But when new administrative documentation requirements are added to doctors and other care providers, it Read more »

*This blog post was originally published at Dr. Wes*