This is the only thing that i made sure to say to my program director the last day of my fellowship "You guys take everything for granted and the only thing we want as a trainee is to hear few nice words to keep us going" It only takes you few seconds as an attending physician to thank you and appreciate your trainee Thank you for pointing this out
They did a trial of that in Australia. Assigned every team a dedicated clerk that worked with the junior doctors on documentation. Worked really well, but the hospital system over there decided it was too expensive. Junior Doctors in the trial were 3x less likely to report burnout in the 2 year period of the trial.
That moment when the Wall of Shame gets posted of doctors most behind on their notes...and it's our sweetest little internal medicine doc who never gets grumpy about overnight calls, takes her time with EVERY patient and picks up the slack for everyone else. I want to send her the Medical Student Mafia AND a Jonathan.
She has her priorities straight. Take actual *care* of patients and help your colleagues. Naturally they'll eventually make that outright impossible with ever more excessive paperwork requirements. I'm in mental health, and our documentation times just went from about 15 minutes per session to *45*. And where is that extra 30 minutes going to have to be carved from? Client care. God, I hate America/capitalism...
Second that! I think middlepersons can make work for both (or more, depends on the situation) sides a lot easier. Communication is key and having someone who is able to share both sides perspectives to each other makes it a lot easier to work as a team
I'm an EMT. Before e-charting, I could finish paperwork in 10 minutes, often done while en route to my next call. My record was 12 calls in 12 hours, and that includes time spent driving to the call, doing an assessment, taking the patient to the hospital, waiting for a room/gurney/chair, prepping my stretcher and cleaning my gear, as well as writing up the Patient Care Report. Today, it takes me an hour to write up a full medical record, and even if I do some of the work in the field on an iPad, I still have to go through and finish it on a laptop in the office.
I am not in the medical field and I'm not going to med school anytime soon... But why is e-charting longer than regular paper charting ? Isn't the goal of e-charting making charting more *practical* for doctors and higher-ups ?
@@matthieudeloget8998 It might be a good idea. However, 90% of our EMTs are volunteer. Many are not really computer-savvy. I happen to be, because of what I do for a living. The state sees us as free data-entry clerks, and dumped a lot of additional documentation on us. Then, when you get to the ER, they do the same assessment again, that happened in the field. For me, a paper chart was 1 page, with a bunch of EMS-specific answers already written, waiting for a checkmark. Or, it would be something as simple as "PT denies Chest Pain, Nausea, Vomiting Headache, and denies Seatbelt use" I could get that done in 10 minutes, or about the same amount of time that it takes my driver to make the gurney up, all by himself. Instead, I have to wait until I get to the garage, and type it all in, as well as a bunch of other stuff that wasn't on the old paperwork. if you drive people out of EMS by making the job of "not taking care of people" harder, all it does is encourage replacement of the volunteers with paid guys, and then you complain about your taxes going up, because it costs about $150,000 a year for two EMTs on an ambulance, in Upstate NY. They aren't well-paid, either.
@@M85331 Maybe? I started because it was a way to contribute to the community, in a really meaningful way. It was a family activity, as both my parents and my wife were involved as well. There are 1.2 million firemen in the US, of those 200,000, or the .2 of that number are paid. The same ratio goes for EMT's as well. Most of us are volunteers.
@@M85331 We did volunteer in our town because it is145 km to the nearest tertiary centre (we we only a 15 bed hospital) with appropriate emergency care. If we didn't have a volunteer ambulance we would have had to wait for an ambulance to attend our area from somewhere else. Time is of the essence in an emergency situation. We had First Aid drivers & EMTs - some EMTs were also local RNs.
I want an entire comedy/drama series about two bold med students cracking down on all of the mean fuddy-duddies in the hospital and standing up for the soft-hearted medical workers trying their best.
@@_ace786 Hence the drama part! Although even cartoons have evil teacher characters that reluctantly pass the student that put them in the place. OR the mean attending loses their job because of some justice being served via the med students.
FM PGY1 here, literally just came home s/p 16hrs on OB to write like seven more discharge summaries after doing progress notes, triage notes, and procedure notes all day long…Timing for this video could not have been more perfect!! Thanks Dr. G!
😭😭😭😭😭😭😭 I just came back home after typing discharge notes for 30 patients. I am posted in Opthalmology right now where we have have camps and tons of patients come for phaco with pciol or pterygium excision or corneoscleral repairs. After that taking 3 copies of each discharge worth 3 pages while begging the nurse to bring logo paper while patient's attendents are howling on you to discharge them first. And then some depts want discharges written in full caps while some want their entire investigation to be written in the discharge even after attaching the reports!! All the while dealing with years old hospital software that takes so many clicks while the keyboard sucks while printers keep getting jammed!!! Uhhhh!! After all this i come home and i watch one of your shorts and it makes my day ❤️❤️
As a former Epic employee who quit over (among other things) how hospital profit focused they were, I hope there's a skit ripping even more into Epic in the future I still remember one of my first all staff meetings where a recent news piece had come out about the top ten most profitable "nonprofit" hospitals, and Judy was just crowing about how 7 of them used Epic
The fact that so many in healthcare doesn't see the dissonance in a not for profit having to get profit......... Is reason #472846 that the USA life expectancy is dropping like a stone in water. But then, it's hard to get a man to understand something when their paycheck relies on them never understanding it.
@spencerreid5774 I dunno, I don't remember Cerner trying to argue to their county's health department that "calling into meetings from your office" was a valid form of remote work during lockdown. :P Joking aside, honestly I'm sure all the EHR companies are pretty awful in their own ways, since the entire healthcare industry is horrid as all get out. But Epic's the one I've got personal experience with in terms of the awful. I knew I was in for a bad time there when one of my first staff meetings, Judy had a presentation about an article that had come out ripping into the ten most profitable non-profit hospitals, and the entire topic was "hey most of them use Epic, so I think this is pretty great actually".
@@Idran cerner literally turned down a slight modification to vdt to help veterans certify their disability because it wasn't a significant enough modification to meet the criteria for additional incentives to their contract. ARE YOU ACTUALLY COMPARING HAVING HEALTHY PEOPLE GO INTO THE OFFICE TO GETTING DISABLED VETERANS STRIPPED OF THEIR BENEFITS BECAUSE YOU AREN'T GETTING COMPENSATION FOR SETTING UP A RECIEVING FTP LOCATION?
damn. thank you I feel so validated TT the many times my seniors slipped in "we saw more than twice the amount of patients you did when I was a junior" making me feel extremely inadequate was really eating me up inside docs are the reason I OT. ugh
I laughed so hard at the Epic Hyperspace placement that I had to pause the video, and run to my partner and be like, "he said this!" Which he doesn't get and laugh some more
I'm trying to imagine how this would work with Ortho... I've managed to squeeze in about 10 Bros so far. On the other hand, Ortho might decide that only Ancef pump doctors need to worry about charting and this wouldn't even come up? So many possibilities with this series...
I just finished my first month on Ortho and it was beautiful. To bad i will probably be at general surgery now. I really find it boring and it is full of paperwork and annoying residents.
I think the "Glaucomflecken zoom" should be a thing. The drama, the danger, the sense of foreboding in that tiny zoom motion. Perfect, revolutionary, *chef's kiss*
Love this. For those who have been in medicine for a long time, I often wonder if they ever stop to think how challenging it is to start a medical career in today's climate!?!
I think EMR’s were designed to test the patience and discover the breaking point of health care providers. Meditech was designed by a maniacal programmer who’s primary goal was to make finding info as difficult and unintuitive as possible .... or at least that’s how it seems 🤣
As someone who works on an electronic patient file; the challenge is meeting the needs of all your client hospitals, who often have very different workflows, and fullfil all the legal requirements for documentation as well. Lots of things can't be automated for example because they have to be validated / approved or checked by medical personnel.
I’m a 15 year who loves your videos and hopes to become a cardiologist one day. Doctors like you are my inspiration.thanx for making my day as always love Your fan
Doctor you don't know how good it feels when I come to your video each night after long day of studying. Thanks so much for all your work!🙏🏻❤( I'm in pre-med journey, so these videos are so interesting for me!😁)
My favorite part was the subtle weaponization of the word 'professionalism'. That word is only ever invoked if you go against the status quo, or god forbid, stand up for yourself, your colleagues or your patients.
Oh my goodness! I got a shout out! I’m a hospital IT helpdesk, and yes it’s true, Docs are always forgetting their passwords, lol! So happy Dr Glauc knows I exist! Woohoo!
I was a renal unit ward clerk back in the day. Every dialysis patient was technically an inpatient, but the system had no concept of "routine inpatient". So to record the presence of each dialysis patient required *eighty* (80, eight zero) clicks/keypresses to record. I had enough piano training I had the sequence memorised, and would be hitting "N" on the keyboard before it could even finish loading the dialogue box to ask if I would like to print a letter to Dr Cook telling him his referral to nephrologist Dr Cook had been accepted, or would I like to print a letter inviting the patient, who'd been sat in the dialysis chair for an hour already, to come to the hospital today. It instilled a deep and abiding spite in me towards enterprise software vendors and "waterfall" software development methodology.
Honestly, when the doctor is typing notes or something as the patient it feels like they're not listening I have heard that the documentation (and fighting insurance) is one of the most draining parts as a doctor, and if hospitals are able to hire scribes it helps doctors do their jobs.
Love the video! I still do a lot of documentation (emergency medicine) but man did I hate the discharge summaries and daily progress notes of inpatient medicine/surgery.
I used to write VB scripts to automate things like that. Legal shenanigans meant I had to literally screenread and run through the HCIS GUI, but the scripts could run through things like discharges, lab orders, emergency room orders, doctor's notes - whatever the hospital gave it access to, really. I quit because they were designed to have a turnaround time of six weeks from inception to finish no matter how long they were (which is really short for scripts that affect health care). Also the guy who ran the paging system (in case one of them got hung up) switched from a perfectly inoffensive generated warning to Never Gonna Give You Up, and while that's funny the first couple times it stops being so after the 37th time it rings you.
I just received a call today about getting my documentation done on time…. Time with the computer is more important than the patient… has to be right, since more time is spent with your intel than the patient!
Oh Lord, this brings back sooo many memories. Worked with one doc that was always on the "your gonna get suspended if your notes are not brought current". Ha!
When EMR crashed during an ER shift and you lose your note... I wanted to hide into a corner and cry :') I wish they put more money into better EMR systems
They want three things: Mostly a compliment, but a letter of recommendation is second and a chance to help on research projects as the third. Fuel to keep going and get a better match is what drives a good medical student. Masochism also helps.
HOLA ! HELLO ! I am early ER doc here ! I love your stuff man. You are the best I may try some funny videos myself I am just not that funny. So we will see. 😅
This is true . Medicine is not for the faint of heart. We are sometimes denied the chance to be human . However , some of us junior doctors take advantage of the occasional rare show of kindness ...
UHC patient service representatives! Please do a video on United healthcare a patient service representative or what I really should say is patient service denier representatives. United healthcare recently purchased my HMO and has put in place a gaggle of patient service representatives. Who is the parent job is to screen all emails to doctors from patients Decide which ones they don’t think should be seen by the doctor and respond to the patient saying that nope we’re not going to do anything and then the patient service representative cannot be emailed back or even contacted by phone because you can only leave a message for them and they don’t return phone calls from patients.
