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Subject:  Re: OT: Career crisis Date:  10/16/2005  1:06 PM
Author:  xraymd Number:  212641 of 310771

Greetings, blkmagwom, thanks so much for your input. As it turns out, I am a fast typist (I was actually a PROGRAMMER prior to leaving for medical school in 1994!). What is much harder for me is the wending through a byzantine set of modules, each of which has its own little rules for data input, many of which have checkboxes or radio buttons, and many of which require clicks to shut off pop-up boxes requesting more detail. And the WORST of which is that I am now required not just to type what I used to handwrite (that's not so very hard for me) BUT that I must, at the end of the patient encounter, be prepared to SEARCH over a specific database whose search terms are different in many cases from common medical parlance to try to find codes to assign to each of the diagnoses that I arrive at that I used to be able to handwrite without those codes (we have a professional coder on staff who assigns the codes). And that impacts my accustomed thoroughness - one of the things my patients say they most appreciate about me - because for every code *I* now have to hunt down and assign, that's yet another entire branch of modules I have to make my way through even when I already KNOW the code. Heaven help me if I DON'T already know it, because it's about a 50-50 chance it will be in the database. And again, I still have to spend extra time processing this info electronically even when I find it. The big kick in the head is that the program will literally NOT MOVE FORWARD unless all codes are resol