Kathy,
It is amazing how clearly you read my mind on certain difficulties for pediatricians using AC. I am also a solo pediatrician and have now been using AC for just over 3 months, having many of the same issues.
I have wondered if we could get enough comments here maybe we could get a few changes in the programing to make this more functional for both pediatrics and family practice.
My biggest issue is that you can not lock the system in grams/kg for weight - this is clearly a big safety issue for medications.
Also you can not see the patients weight when doing e-prescribing, nor is there any type of calculator available so you have to plan ahead, check the weight, pre-calculate the dose etc prior to opening that window.
Not being able to track the babies weight in grams is a disaster here at an altitude of 8000ft where weight gain at 2 weeks is frequently an issue, we just put it in the notes section.
I was also looking for WHO charts, and when in doubt we individually scan them into the patients chart, -definitely less than ideal.
The immunization charting needs work in many areas, ?no ability to document that the VZ vaccine was given SQ etc etc.
Perhaps we could get a pediatric forum?
Overall I would tell you that I am really pleased with the program, and I have absolutely no regrets with choosing it. I have used a number of different EMR systems in the past and feel very optimistic that over time as this system is updated these issues can be resolved through physician input to make this a spectacular pediatric EMR.
