A couple of practices I know use a scribe... an actual hired person to go into the room with the provider and do it all. That sounded so counterproductive when I heard about it... after all, the whole point was to REDUCE staff... but maybe you can convert a chart filer into a scribe. As I said in starting my "Emperor's new clothes" rant, maybe the reduction in work load theory is a fantasy, just like "computers will eliminate the need for paper"...Perhaps the increase in productivity makes up for the increase in labor costs.


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