The problems started long long before Obamacare and I don’t think they have anything to do with electronic medical records. I think the problem is more that human doctors are trained to think in systems instead of holistically . Plus advances in diagnostics make histories and physical exams seem that much less important especially since …
The problems started long long before Obamacare and I don’t think they have anything to do with electronic medical records. I think the problem is more that human doctors are trained to think in systems instead of holistically . Plus advances in diagnostics make histories and physical exams seem that much less important especially since as Dr House likes to point out, people lie especially to their doctors. I think there is a feeling of why bother with a physical exam and a history (that may or may not be accurate) when you can just order blood work and imaging and probably get to the bottom of the problem or better yet refer and make it someone else’s problem. General practitioners have very little training or leeway to do much other than deal with very low level problems (UTIs, mild allergies, colds etc) there’s no point in taking a history and doing an exam for your female problems when there isn’t anything they are going to do with their findings other than refer you to an OB for further diagnostics or treatment anyway.
It's probably time for me to retire. I would have liked to have been a vet,but vet school is harder to get into than medical school I'm old and admit that I hate EMR's. In my case they slowed me down and frustrated me. I can't tell you how many times they would crash or freeze, and I would be on hold for tech support. I saw an emr file on a patient with a simple knee strain. It was 30 pages long. I could write a concise SOAP on that patient in 2 paragraphs. EMR in conjunction with ICD10 is a tool to extract as much money from private insurance and Medicare as possible. There are 20 major emr programs in use and they do not cross communicate.
The problems started long long before Obamacare and I don’t think they have anything to do with electronic medical records. I think the problem is more that human doctors are trained to think in systems instead of holistically . Plus advances in diagnostics make histories and physical exams seem that much less important especially since as Dr House likes to point out, people lie especially to their doctors. I think there is a feeling of why bother with a physical exam and a history (that may or may not be accurate) when you can just order blood work and imaging and probably get to the bottom of the problem or better yet refer and make it someone else’s problem. General practitioners have very little training or leeway to do much other than deal with very low level problems (UTIs, mild allergies, colds etc) there’s no point in taking a history and doing an exam for your female problems when there isn’t anything they are going to do with their findings other than refer you to an OB for further diagnostics or treatment anyway.
It's probably time for me to retire. I would have liked to have been a vet,but vet school is harder to get into than medical school I'm old and admit that I hate EMR's. In my case they slowed me down and frustrated me. I can't tell you how many times they would crash or freeze, and I would be on hold for tech support. I saw an emr file on a patient with a simple knee strain. It was 30 pages long. I could write a concise SOAP on that patient in 2 paragraphs. EMR in conjunction with ICD10 is a tool to extract as much money from private insurance and Medicare as possible. There are 20 major emr programs in use and they do not cross communicate.