How the system incentivizes unethical physician behavior:
The doc comes in to see a patient (I witnessed this many times with one doc in particular in the CCU) at about 11pm. He or she writes a not after examining the patient. Then he/she waits around until 12:15am , and checks a new set of vital signs, cursorily reexamines the patient and writes another note dated the new day – gets credit for two days notes with only one visit.
