On Mon, 04 Jun 2001, Daniel L. Johnson, MD wrote:

> Well, I never use checklists or templates.  My impression is that only what's in the 
>busy clinician's head is accessibly quickly enough to actually use regularly, and 
>only if it's
> not in our head do we look it up.
> 
> I cannot imagine a busy, skilled physician actually using a template to manually 
>document all visits on a computer.  I can imagine him looking at a template while 
>dictating, and a
> transcriptionist entering boilerplate material at his direction.
> 
> In general, templates cover what we already know and are not flexible enough to 
>accommodate the hundreds of individual variations we see daily.

Some chosen statements from your posting.
I had the pleasure of hearing Dr. Bob Shepard speak about the benefits
of using a paperless system.  Hopefully he will find time to address
this here also.
But basically, the pay-back is in the big picture.  The overall
business process is improved while the clinician actually spends less
time on the same number of patients.  Patient care is improved because
of the quick access to answers for the 10% that you do not know off the
top of your head.

My perception is that an automated system is less appealing to a
specialist than to a general practicioner.  Primarily because that 10%
covers a much larger area of medicine.

I suppose it could be equated to being penny-wise and pound-foolish to
not use a well designed automated system. 

Comments?

-- 
Tim Cook, President - FreePM,Inc. 
http://www.FreePM.com Office: (731) 884-4126
ONLINE DEMO: http://www.freepm.org:8080/FreePM

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