Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • 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

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

Post navigation

< 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 every physician needs a sabbatical (and how to take one)

    Christie Mulholland, MD
  • The moral injury of “not medically necessary” denials

    Arthur Lazarus, MD, MBA
  • Is physician unionization the answer to a broken health care system?

    Allan Dobzyniak, MD
  • The decline of professionalism in medicine: a structural diagnosis

    Patrick Hudson, MD
  • The patchwork era of medical board certification

    Brian Hudes, MD
  • How neurodiversity in relationships shapes communication

    Farid Sabet-Sharghi, MD
  • Most Popular

  • Past Week

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why Brooklyn’s aging population needs more vascular health specialists

      Anil Hingorani, MD | Conditions
    • Escaping the golden cage of traditional medical practice to find joy again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why pediatricians are key to postpartum depression screening

      Mikenna Reiser | Conditions
    • Prostate cancer genomic testing: a physician-patient’s perspective

      Francisco M. Torres, MD | 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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • Why every physician needs a sabbatical (and how to take one)

      Christie Mulholland, MD | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
  • Recent Posts

    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Putting health back into insurance: the case for tobacco cessation

      Edward Anselm, MD | Policy
    • Why Brooklyn’s aging population needs more vascular health specialists

      Anil Hingorani, MD | Conditions
    • Escaping the golden cage of traditional medical practice to find joy again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why pediatricians are key to postpartum depression screening

      Mikenna Reiser | Conditions
    • Prostate cancer genomic testing: a physician-patient’s perspective

      Francisco M. Torres, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • 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...