Jon,

Well put, as always.

I only have so much energy per visit. It goes down as the years go by. For the last 3 months too much of that limited energy has gone to making sure that I have marked "white" in my 99% white population, "English" in my 100% English-speaking population, and making sure totally useless patient specific education and visit summary are attended to. Not to mention the agony of the first week or so on v6.0.09 with speed problems. Multiply that by tens of thousands of physicians.

I can only imagine what Jon Bertman and his developers went through. Multiply that by several hundred EMR companies.

How many collective hours have gone into this?

All of this, of course, is superimposed on the usual "Did I address enough RHM updates?", "Did I document enough to justify a 99214 visit?" and "Would this note stand up in court?"

I went into Family Medicine to take care of patients. I think I spend more time and effort explaining and justifying what I did, than actually doing it.

But all the above will be forgotten for a brief time when the check comes.....

Gene

Gene Nallin MD solo family practice with one PA Cumberland, Md