EHRs are killing medical innovation

To paraphrase Bill Gates: “The purpose of humanity is not just to sit behind a counter and do things. More free time is not a terrible thing.”

I have innovated. I developed a mutation assay. I discovered that vacuum ultraviolet light from excimer lasers is safe to use on human tissue. I invented an imaging device to detect burn wound depth and discovered the best laser to debride burn wounds. I invented a laser-based treatment for acne. I developed and patented an online gamified collective intelligence solution to identify dermatology images. I have participated and published as a clinician in numerous population health studies. I’ve got a few more things that I want to build and do based on my four years of medical school education, eight years of post-medical school residency and fellowship training in internal medicine, dermatology and cutaneous surgical oncology and two decades of clinical practice. Ideas for innovation arise from experience as a clinician-physician. We physician-clinicians care for patients, use all our senses, and our minds to recognize problems and apply solutions to improve the value (outcomes/costs) of preventive, medical, surgical or palliative outcomes. One needs to spend only a few hours in the basement stacks of Harvard’s Countway Medical Library to recognize the speed of physician-clinician led medical innovation which has in many ways dwarfed Moore’s Law.

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