Paul,

Your comments above bring to the forefront the answer to the original question on a visceral level.
With the risk of sounding a bit histrionic or grandiose, I would like to pose another question.
Did you choose AC or did AC choose you?
On an objective rational level the world of medicine is as you describe for the small office based physician. The entire world is out to squash us into oblivion so we are forced to become another cog in the wheel working for someone else.
I think AC has allowed me to maintain the FREEDOM to continue running my own pop-sickle stand, with all of the challenges you describe.
Looking backwards in time over the last several years, the AC community and the product itself reminds me on a daily basis what a sacred Profession we are in and it is worth fighting for.
So on an objective level AC does not have a PM currently and it has the list of 81-84 on the to do list, so it is not the perfect EHR, but on a visceral level, this little imperfect EHR has given me a breath of fresh air, so that I can continue doing what I love.
On this lovely Easter morning I am reminded of April 18, 1521, Martin Luther appearing before the Diet of Worms, the quote, "I cannot and I will not recant anything, for to against conscience is neither right nor safe. God help me. Amen."

It ain't in my bones to work for someone else, so that is why I would choose AC in a heartbeat again, and again, and again.


jimmie
internal medicine
gab.com/jimmievanagon