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Having seen numerous record-keeping systems introduced over the last almost 50 years (I started nursing classes in 1968), nothing is a panacea. That includes EHR, which BTW, I never saw in the 1960s and I went to school at an avant-garde medical center. It's an age old problem that will never, never change. We all adapt to the times, and EHR are the standard now. That's all.
You're right about an age old problem and one often related to age.
Some really old, cantankerous docs used to scribble hieroglyphics on charts. Nobody could read what they'd write. There were a lot of errors made. I used to complain to high heaven every darn day.
I used to say all writing utensils should be taken away from people who couldn't write clearly. Maybe God listened to me.
The Air Force took the pens away and made physicians type to avoid errors and speed things up. That is one of the benefits of EHR. A lot of them didn't like that. Too bad.
BTW, how many times have you caught a physician ordering stuff without reading the medical history? I've lost track.
You're right about an age old problem and one often related to age.
Some really old, cantankerous docs used to scribble hieroglyphics on charts. Nobody could read what they'd write. There were a lot of errors made. I used to complain to high heaven every darn day.
I used to say all writing utensils should be taken away from people who couldn't write clearly. Maybe God listened to me.
The Air Force took the pens away and made physicians type to avoid errors and speed things up. That is one of the benefits of EHR. A lot of them didn't like that. Too bad.
BTW, how many times have you caught a physician ordering stuff without reading the medical history? I've lost track.
Many. Now I didn't work in an ER. The last 11 years of my career were in a doctor's office, but we had 5 docs and at least one was gone every day. So the on-call doc had to take care of the absent doc's patients. Sometimes they knew a little of the patient's history, sometimes not. Some read it, some did not.
What you may describing is a public option which I still support.
Most docs earnings would drop unless they ramp up their encounters per day. There is not a whole lot more overhead dealing with a dozen insurance plans.
Fewer administrative employees needed in the office to manage one payer.
Fewer administrative employees needed in the office to manage one payer.
Meh. In my ten doc group we might lose one employee. Or not. And much of that would depend on how much in the way of rejections we encounter from any new HC system.
Meh. In my ten doc group we might lose one employee. Or not. And much of that would depend on how much in the way of rejections we encounter from any new HC system.
Well, that's a $40,000-60,000 annual reduction in costs.
Do you really believe that an exceptional student is going to study his/her butt off in med school for years. So they can end up in dead end gov job with no future. I don't think so. What will basically happen that exceptional student will choose an alternate lucrative career path in the private sector. All you're going to have in the end is nothing more than mediocre medical professionals at best.
You have no idea how competitive it is to get accepted into medical school!
Quote:
The total number of applicants to medical school grew by 6.1 percent to 48,014, surpassing the previous record set in 1996 by 1,049 students. First-time applicants, another important indicator of interest in medicine, increased by 5.8 percent to 35,727. The number of students enrolled in their first year of medical school exceeded 20,000 for the first time (20,055), a 2.8 percent increase over 2012.
Quote:
However, unless Congress lifts the 16-year-old cap on federal support for residency training, we will still face a shortfall of physicians across dozens of specialties,” said AAMC President and CEO Darrell G. Kirch, M.D. “Students are doing their part by applying to medical school in record numbers. Medical schools are doing their part by expanding enrollment. Now Congress needs to do its part and act without delay to expand residency training to ensure that everyone who needs a doctor has access to one.”
Total cost of an employee is as much as twice the pay of the employee.
Unless they're illegal.
We don't have much in the way of benefits. No illegals.
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