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URL:  http://boards.fool.com/greetings-fuskie-some-further-thoughts-23172420.aspx

Subject:  Re: OT: Career crisis Date:  10/16/2005  5:10 PM
Author:  xraymd Number:  212654 of 309665

Greetings, Fuskie, some further thoughts:

Technology has made digital records more reliable (no chance for a nurse being unable to read the dr's writing).

I think I would actually say here that technology has made digital records more LEGIBLE. If the data capture is incomplete, it is no better than an incomplete handwritten record. It's just prettier.

In every other aspect of your profession, you are expected to keep up with new treatments, new medical discoveries, even new technologies and diagnosis tools. Consider this digital diagnosis tracking system as one of those things. Anywhere you go, you will probably come across the same trend. Even worse, unless you come to terms with the issue, you may turn down a great opportunity because they will expect you to walk down the same path as the current employer.

Absolutely true. I am required to have no fewer than 20 hours of CME (continuing medical education) per year to continue to validate my medical license. I certainly agree that electronic documentation is not just coming; it is here to stay. But what I'd like to see is the development of systems that are more sensitive to how to input and process information in a way that truly helps, not fights, a busy physician. What I've said before is that we need the medical equivalent of Xerox PARC - that old think tank from the 1970s which resulted in some of the more innovative of computer userface solutions, many of which found their way into Apple technologies. The guys who staffed PARC really took usability seriously. On the Physicians and Other Professionals board, I read of a homegrown user interface that Adenovir touted which was customized to his requirements for caring for preemies and critcally ill neonates. I am CERTAIN that a similar system could be invented that is customized to the needs of an internist w