Replacing transcriptionists with physicians is a fool’s bargain

My general internal medicine practice is equidistant from the three academic institutions and a Veterans Administration facility, and thus I have patients who receive primary, secondary and tertiary care at each of these institutions. The notes I receive back from one of these organizations are hands down the best of the four institutions. These notes …

Why electronic medical records are a disaster for some docs

“You’re 56,” I say, speaking to a new patient. “Have you had a colonoscopy?” “Yes, I did, right when I turned 50,” she says. “Isn’t it in there?” “Well,” I reply, awkwardly. My shoulders hunch over my laptop screen, my hands scrunching to conform to the too-small keyboard. I click and open a dropdown menu. …