David,
I think it is a little different for us in IM. We are not generally seeing 25 -35 patients per day. A busy IM day might be 15 -18. I use to do it in a similiar manner as you do. What I found was that once I left the exam room, there were all sorts of fires to put out, ie: something that was going to take away my 5-10 minutes. To each his/her own, but I like being done with the chart when I leave the room.

Tom

Tom Young, DO
Internal Medicine Consultants, PC
Creston, Iowa