Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Entering the exam room without the weight of the computer

Christine A. Sinsky, MD
Physician
February 16, 2014
Share
Tweet
Share

It started with a dead laptop. For the first time in more than 3 years I felt like a doctor again. I had forgotten what it was like.

Having neglected to plug in my laptop the night before, it was without power. (Without power!) An opportunity for an uprising, of consciousness if not full revolt.

For the first 1½ hours of clinic I entered each exam room without the weight of the computer. I felt light, free and focused. I could make eye contact and concentrate on the patient. There was time to visit about little things and big.  And on this foundation of social conversation, which otherwise would get only scraps of distracted attention, the medical care was better. I was a better physician.

My mind was not divided into multiple trains of thought, with more synapses devoted to navigating the electronic obstacle course than to the patient: what is the new password that changes every 3 months, be sure the nurse has finished entering her structured text information before I select the patient or her work vanishes, wait 35 seconds for a page to load. Click here, wait, scroll there, wait. Click away automatic pop-up error messages that can’t be avoided. Sting, slap, brang.

In contrast, for a brief Camelot moment I wasn’t working with one eye on the patient and one eye on the screen, but found myself enjoying my work. A lot. I wasn’t doing tasks, such as submitting the billing invoice or closing the chart, that either meaningful use panelists, local administrators or technology vendors had intentionally or arbitrarily determined could only be done by a physician.

All that mental noise, all that multi-tasking quieted for a blissful 90 minutes. I focused on my patients and didn’t have the master over in the corner waiting to devour minute after minute, putting me further behind, and gnawing at my identity and conscience. It was bittersweet. I had experienced a tantalizing few moments of what I knew should be, but couldn’t last.

I believe that we can not overstate the costs to patients, and to physicians’ and other health professionals’ well-being of the quest to convert every clinical thought and act into digital data. Of creating an environment that approaches physicians as knaves not to be trusted or pawns to be manipulated, rather than knights to be entrusted in the service of their patients. We need electronic systems of information. Paper is not good enough. But we need a more sophisticated socio-techincal-policy environment that allows physicians to unplug their focus from data entry and refocus their attention on connecting with the patient.

Christine Sinsky is an internal medicine physician who blogs at Sinsky Healthcare Innovations. 

Prev

When patients abuse emergency department workers

February 16, 2014 Kevin 20
…
Next

The data behind the medical home: High costs without a benefit?

February 17, 2014 Kevin 10
…

Tagged as: Health IT, Primary Care

< Previous Post
When patients abuse emergency department workers
Next Post >
The data behind the medical home: High costs without a benefit?

ADVERTISEMENT

More by Christine A. Sinsky, MD

  • a desk with keyboard and ipad with the kevinmd logo

    This is what patient safety means to me

    Christine A. Sinsky, MD
  • a desk with keyboard and ipad with the kevinmd logo

    An optimist’s view of primary care

    Christine A. Sinsky, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Primary care is broken: Here are ways to fix it

    Christine A. Sinsky, MD

More in Physician

  • Why experiential consent is replacing traditional medical consent forms

    Ron Tongbai, MD
  • Why career pivots are a valid path in medical training

    Whitney Black, MD
  • Why early detection technology and precision medicine are failing patients

    Julie Chen, MD
  • Physician autonomy is not separate from patient care

    Corinne Sundar Rao, MD
  • Bridging the gap between a chronic disease diagnosis and treatment

    Donald Kushner, MD
  • When shared decision making gives way to medical paternalism

    DeAnna Pollock, MD
  • Most Popular

  • Past Week

    • When shared decision making gives way to medical paternalism

      DeAnna Pollock, MD | Physician
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • What to expect at your first gynecologic visit

      Callia Georgoulis | Conditions
    • Why current solutions to physician burnout are failing

      Bill Pressey | Conditions
    • Why GLP-1 medications require expert nutrition guidance

      Deanne Brandstetter, MBA, RDN | Meds
  • Past 6 Months

    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • Why clinical listening skills outpace artificial intelligence

      Ryan Egeland, MD, PhD | Tech
    • Why Florida physician background checks are driving doctors away

      Tamzin A. Rosenwasser, MD | Physician
    • Why we need a new medical specialty to fix corporate medicine

      Allan Dobzyniak, MD | Physician
    • The hidden clinical cost of HCC coding in primary care

      Jeffrey H. Millstein, MD | Physician
  • Recent Posts

    • Silence at the chessboard changed how I talk to patients [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why experiential consent is replacing traditional medical consent forms

      Ron Tongbai, MD | Physician
    • Why career pivots are a valid path in medical training

      Whitney Black, MD | Physician
    • How to treat chronic pain and depression together

      Kayvan Haddadan, MD | Conditions
    • Transforming sepsis care with rapid host response diagnostics

      Jasjot S. Johar, MD | Conditions
    • How research laboratory culture shapes mentorship in academic life

      Rao M. Uppu, PhD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 6 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • When shared decision making gives way to medical paternalism

      DeAnna Pollock, MD | Physician
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • What to expect at your first gynecologic visit

      Callia Georgoulis | Conditions
    • Why current solutions to physician burnout are failing

      Bill Pressey | Conditions
    • Why GLP-1 medications require expert nutrition guidance

      Deanne Brandstetter, MBA, RDN | Meds
  • Past 6 Months

    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • Why clinical listening skills outpace artificial intelligence

      Ryan Egeland, MD, PhD | Tech
    • Why Florida physician background checks are driving doctors away

      Tamzin A. Rosenwasser, MD | Physician
    • Why we need a new medical specialty to fix corporate medicine

      Allan Dobzyniak, MD | Physician
    • The hidden clinical cost of HCC coding in primary care

      Jeffrey H. Millstein, MD | Physician
  • Recent Posts

    • Silence at the chessboard changed how I talk to patients [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why experiential consent is replacing traditional medical consent forms

      Ron Tongbai, MD | Physician
    • Why career pivots are a valid path in medical training

      Whitney Black, MD | Physician
    • How to treat chronic pain and depression together

      Kayvan Haddadan, MD | Conditions
    • Transforming sepsis care with rapid host response diagnostics

      Jasjot S. Johar, MD | Conditions
    • How research laboratory culture shapes mentorship in academic life

      Rao M. Uppu, PhD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Entering the exam room without the weight of the computer
6 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...