In 2011 I wrote about typing as a critical physician skill. Things haven’t changed much. Voice recognition has improved but admittedly only works in certain contexts. Typing remains key. It’s the interface to the digital world. You can quibble about EHRs but the critical nature of keyboarding goes well beyond records and impacts how we connect to the world. As I ... Continue Reading about Keyboarding Doctors: Would You Hire a Doctor Who Can’t Type?
Stock and Flow
I struggle with the idea of where to put my ideas. In the past I’ve thought about this as the Medical Media Continuum. So I ran across this post by Austin Kleon. He sees his output in two buckets, stock and flow. Flow is your feed and stock is your durable output. It’s drawn from a 2010 post on the subject by Robin Sloan: Flow is the feed. It’s the posts and the ... Continue Reading about Stock and Flow
Should Physicians Give Their Cell Phone Number to Patients?
I hear this occasionally on Twitter: “My doctor gave me his cell phone number so I can call him whenever I have a problem.” Occasionally I hear from physicians that they give their cell phone number to their patients. While some practice situations necessitate this (rural, solo practice or concierge) in other circumstances I don’t think this is fully thought ... Continue Reading about Should Physicians Give Their Cell Phone Number to Patients?
Why Doctors Would Hate The Best EHR in the World
If you got together the best user experience professionals in Silicon Valley and invested billions into the creation of The Best EHR in the World, doctors would still hate it. They would complain that The Best EHR in the World is destroying medicine and hurting patients. Long essays in the Sunday New York Times would wax nostalgic about the good old days before the ... Continue Reading about Why Doctors Would Hate The Best EHR in the World
Physician Notes: Access is Only as Good as the Notes Themselves
If you spend time nosing around medical charts you’ll find that the quality of physician notes vary as much as the doctors who creates them. Even as physicians we sometimes have difficulty understanding what’s happening or where a patient is headed in their care. An informed patient begins with clean information It got me thinking of OpenNotes. This is a tremendous ... Continue Reading about Physician Notes: Access is Only as Good as the Notes Themselves
3 Words for 2018
Every year I identify three words to help define my purpose going into the new year. I picked this up from Chris Brogan some years ago and never quite let go of it. I find it works better than a narrow resolution. It provides a territory rather than a discreet goal that’s ripe for failure. Essentialism Once you give yourself permission to stop trying to do it all ... Continue Reading about 3 Words for 2018