This behaviour drove me crazy at first, but let me explain how I have adjusted. My MA sees a patient. She records CC and vitals etc and forwards chart to me. I see patient, put orders in plan section and forward back to her. She records results and sends back to me. I open chart and can read for example Spiro results or strep screen results. Or if she did immunizations, they are recorded. I can finish the chart and sign it, but if time is tight, I forward the chart back to MYSELF (I have a verbal dragon macro to rapidly do this). I finish all my notes by the end of the day. Any rare leftovers are dealt with via addendum. I would love for someone to compile various ideal patient flow scenarios to compare and I can fill in details of mine, but AC is a good tool compared to paper. It pays to spend time with staff to smooth out routine procedures.