Bert, this is where it came from:

The switch from paper to electronic is not a match made in heaven for many practice types. Not everyone that reads these posts, it seems, is all a-gaga about being able to template everything and having every encounter look identical, as my patients are not peas in a pod but individuals and I feel it is important that my records reflect that. I have no interest in trying to impress an auditor that I have 7 or 77 or 777 bullet points in my history if they are of no value. Given that I, at least, do not realize any time savings from that portion of the program, do not type 90 words a minute, and find I have assumed a bunch of new burdens, I wanted to see if there were others who had found the experience similar. Apparently there are. It is disappointing to find that going electronic did not do for my practice what Quicken did for my checkbook, or Word did for my letters. The question now stands as to whether having found it to be so, there are ways to minimize that burden. I am hoping others can provide guidance.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands