I’m being sarcastic, of course, but that’s often how it seems some days. Those are days when I’ve been busy at patients’ bedsides all day and then struggle to get my documentation done later, typically many hours later. I jot notes to myself as I go al…
About once or twice a day, everyone on our hospital’s computer network gets an emergency message that scrolls across the bottom of our screens, highlighted in the colors of danger and warning. They include things like a notification that a partic…
Dear Alex, As you realize your destiny, I want to share the lessons I have learned in my 45 years on the front lines of health care. I am hoping they will serve you well on your journey. First and foremost, love what you do. Have fun with the people wh…
Take a stroll through any emergency department or hospital break room, and what do you see? Chips, pop, candy bars, and different flavors of junk food. Working in the trenches of medicine requires stamina and mental fortitude. Fueling the body and mind…
The use of health care information technology has increased exponentially over the last five years, and as a frontline physician, I have seen this change at close quarters. In most of the hospitals I’ve worked in up and down the East Coast, it’s been i…
A little background before I set off: I study in a medical school in India whose attached public hospital is as busy as it can get. It serves its people absolutely free of cost and is often a refuge for the poor of the society. We often run out of res…
How do you react when presented with your quality data? In my experience, physicians generally respond by: Ignoring the metrics Arguing about why the metrics are wrong Saying the metrics are stupid A lot of doctors refuse to participate in the process …
I was recently working in clinic on a Friday afternoon. I was on my last patient of the day, and it had been a particularly long clinic. I had big plans for the weekend and should have already finished. The gentleman entered the room, sat down, and we …
As voters fume about the high cost of health care, politicians have been targeting two well-deserved villains: pharmaceutical companies, whose prices have risen more than inflation, and insurers, who pay their executives millions in salaries while rais…
What if each new feature of your medical record came with a description of how it would improve patient value, not just how to use it? Could a simple checklist help to achieve Annals’ vision of putting patients first by helping to ensure that hea…
