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A slow death by charting

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kevinmd.com

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Thu, Sep 12, 2019 02:36 PM

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--------------------------------------------------------------- Here are the stories you missed on K

--------------------------------------------------------------- Here are the stories you missed on KevinMD. Thank you for your continuing readership. --------------------------------------------------------------- Sponsors [Over 450 health care professionals]( shared their firsthand insights on how hospitals support their care teams with communication technology. Read this extensive visual report to better understand the challenges and opportunities for [mobile communications in health care](. The [pace of medical malpractice claims]( in which electronic healthcare records (EHRs) contributed to patient injury has tripled since 2010. A recent study reveals the [risks of EHRs and steps to prevent them](. [More logins, more problems](. Lack of integration between multiple tech solutions ranks as health care providers' biggest technology frustration. [Download our new data report for more insight](. Health care workers face [potentially unsafe situations]( from falls and other workplace accidents to violence and verbal abuse. In 2017, hospital staff suffered 51,380 work-related injuries and illnesses that caused employees to miss work. How are they getting hurt, and what role does violence play? [Read more](. [Conference planners!]( Find vetted, handpicked physician speakers that shine on stage. Physician Speaking by KevinMD: [Your audience deserves the best](. --------------------------------------------------------------- KevinMD Plus: Sep 12, 2019 [A slow death by charting]( It’s 10 p.m. Seven days before Christmas. I’m sitting at work “finishing” up some charts. I am suddenly overcome with anger. What am I doing here right now at this minute? I am helping no one. This work I’m typing away at — trying so hard not to scream — it’s hoops. Fucki*g hoops … […] [A pediatrician’s top 10 back to school tips]( As a pediatrician, who is also the busy mother of two school-aged children, the end of the summer brings a lot of mixed emotions. As parents and guardians, we can rejoice, while our kiddos may experience a wide range of feelings. The joy of reuniting with their school friends is often tainted by worries of […] [After a spouse’s death, a physician is showered with gratitude]( I saw Kaitlin (identifying information changed) and her husband Brandon seven days before she died. Kaitlin’s cancer had been in remission at our last visit, but this day she looked awful. I estimated she had less than three months to live. As I think being surprised by death is unhelpful, I decided to test whether […] [The medical profession faces a crisis of diversity, inclusion, and equity]( I was immersed in the intergalactic war unfolding in my novel as my daughter slept, head resting on my thigh. Less than one year ago, she curled up in the window seat with ease. Now her contorted legs dangled over the edge fighting for space and comfort. The flight attendant’s voice boomed from the cabin […] [The medical profession needs more shadowing opportunities]( Job shadowing is a long-standing tradition. High schools often have dedicated shadowing days, during which students can come and spend time with people working in careers that the students find interesting. While a few hours isn’t really enough to know if you like, love or hate a job, it’s a start. In health care, it […] [Clinical trials advance medicine in the future. And help patients right now.]( If you’ve ever used a medication to treat an illness, you have a clinical trial to thank for it. Every standard therapy used in medicine today once started as a clinical trial. And it is commonly understood that today’s clinical trials are shaping treatments of the future. Less understood – but just as important – […] [Meet the orthopedic surgeon who became a rapper]( “Jeff, turn my headphones up.” There is a peace and tranquility to the recording booth before the beat drops. A heavy bass and drum kick in, signaling me to bark gravelly lyrics into a state-of-the-art microphone with hopes that it sounds passable. Over the past year, my rhymes have gone from clunky to less clunky, […] [Does the House of God stand the test of time?]( As media coverage of the 50th anniversary of Woodstock shifted into high gear earlier this month, two articles in the “Arts and Medicine” section of JAMA called attention to another anniversary that transported me back in time. It has been 40 years since the publication of The House of God — an unabashedly irreverent (some would say “borderline pathological”) […] [Medical schools cause burnout. Here’s how to fix that.]( Students’ time in medical school should help them grow and become insightful, caring doctors. Instead, medical education is somehow turning smart, gifted, enthusiastic applicants into exhausted and unhappy students who become interns, residents, and physicians at increased risk of depression and burnout. I’m no stranger to the demands of medical school. My father and father-in-law […] [5 financial lessons physicians can learn from Adrian Peterson]( Adrian Peterson (AP) made news lately. And it’s not because he is breaking records. In fact, he is breaking in a completely different way. The news that “broke” is that AP is, well, broke. Despite being one of the most prolific running backs to ever play the game, Adrian Peterson’s money problems are impressive. The story […] [A resident physician graduates. What does she tell her clinic patients?]( “I’m graduating and leaving our clinic in June.” Over and over again, in the months leading up to this transition, I break this news to my primary-care patients. I have developed many meaningful relationships with patients over my past three years of training as a family medicine resident in a large, urban health center in […] [A physician uses where he comes from for constant motivation]( Growing up, any opportunity to eat out was truly a luxury. We just didn’t have the money for it. Occasionally on birthdays or a special trip, we would be treated with a big fish sandwich from Burger King, or my personal favorite, a $20 party tray of shrimp fried rice from the local Hong Kong […] [Most of what you learned in medical school is wrong. And that’s OK.]( “90 percent of what you will learn over the next four years will be wrong in a couple of decades from now.” Speaking to a lecture hall of 120 first-year medical students, our professor’s prophecy seemed to fall on deaf ears. Looking around, I saw no concerned students, no diminishment of our collective enthusiasm. For […] [Americans and Canadians use more post-surgery opioid pain pills]( Americans and Canadians are seven times more likely to fill a prescription for opioid pain pills in the week after surgery than Swedes, says a study published Wednesday, one of the first to quantify international differences. More than 75% of patients in the U.S. and Canada filled a prescription for opioids following four common surgeries, compared […] [Clinical practice guidelines have problems, but they’re not broken]( A Health Affairs blog post titled “Fixing Clinical Practice Guidelines” echoed several concerns I’ve discussed previously: practice guidelines are being produced in abundance but often have variable methodological quality, financial conflicts of interest that threaten objectivity, and/or poor applicability to the clinicians and populations for whom they are intended. To address these problems, the authors reasonably suggested […] [How does this tech improve patient care?]( What if each new feature of your medical record came with a description of how it would improve patient value, not just how to use it? Could a simple checklist help to achieve Annals’ vision of putting patients first by helping to ensure that health care innovators release only those features that help us improve […] --------------------------------------------------------------- If a friend sent you this email and you want to subscribe, go to [KevinMD](. --------------------------------------------------------------- 345 Hudson Street New York NY 10014 USA [Unsubscribe]( | [Change Subscriber Options](

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