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

To scribe or not to scribe? That is the question.

Janet Tamaren, MD
Physician
May 29, 2022
Share
Tweet
Share

By this title, I mean whether it is a good idea or not to hire a scribe to enter data into the electronic medical record (EMR) system.

I favor having a scribe. I came of age with paper charts, and I found the transition to EMR tricky and time-consuming.

My chief argument favoring scribes is that scribes can save doctors a lot of time. And by saving time, scribes can also help doctors’ mental health.

This is especially true in primary care or urgent care settings where doctors must collect a lot of data and rule out various possible diagnoses.

I would always do minimal charting in the usual 15-minute time slot assigned to a patient visit. I would note the salient details, including chief complaint, history of present illness, pertinent physical findings, and then assessment and plan. I wrote enough on the chart to get the patient out the door.

I would then return to the EMR at the end of the day and add further details. There are a lot of details mandated by EMR systems. This would take up to another 10 minutes per patient chart. Yes, I timed it. With 20 or more patients during the day, this could easily take another two hours. This makes for a very long day.

I was working at an urgent treatment center, where a busy Saturday in January would be overwhelming. At one point, I hired a scribe. She was a bright young woman interested in medicine and some alacrity with computers. It was a pleasant change of pace for me.

She would accompany me into the exam room under instructions to remain unobtrusive and abide by HIPAA. I found that she could record the pertinent negatives and positives on the physical exam and the review of systems. She could record the assessment and plan as well.

I was then able to give the patient my full attention during their 15-minute visit. I could even maintain eye contact and have a conversation without the distraction of a computer screen demanding my attention. I could feel like a human being instead of a data entry clerk.

So that, at the end of the day, the scribe would have filled in most of the chart. I would need to review her entries, check the assessment and plan, and sign off on everything. Voila! I even got to go home at a reasonable time.

The major downside of having a scribe? Someone must pay her salary. I paid the scribe myself. Eventually, the owner of the clinic offered to cover the expense. I am not sure how you negotiate the perk of having a scribe in other clinics. Perhaps doctors can insist on adequate staffing when they first take a job and include a scribe as part of the contract.

If doctors are pressed for time from a heavy patient load or from patients who require a high degree of mental acuity, a scribe is well worth the expense.

Janet Tamaren is a family physician and author of Yankee Doctor in the Bible Belt: A Memoir. She can be reached at her self-titled site, Dr. Janet Tamaren, and on Twitter @jtamaren.

ADVERTISEMENT

Image credit: Shutterstock.com

Prev

A call to dismantle structural heteronormative care

May 29, 2022 Kevin 4
…
Next

How to maintain your relationships during nursing school [PODCAST]

May 29, 2022 Kevin 0
…

Tagged as: Health IT, Primary Care

Post navigation

< Previous Post
A call to dismantle structural heteronormative care
Next Post >
How to maintain your relationships during nursing school [PODCAST]

ADVERTISEMENT

More by Janet Tamaren, MD

  • The unexpected truth behind these misdiagnosed medical cases

    Janet Tamaren, MD
  • The power of names: Superstition in the neonatal intensive care unit

    Janet Tamaren, MD
  • How a doctor’s clever approach restored a life—and a marriage

    Janet Tamaren, MD

Related Posts

  • A scribe’s haunting view of emergency medicine

    Nicole Russell
  • Why health care replaced physician care

    Michael Weiss, MD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • A question to ask physicians: How much is tough enough?

    DrizzleMD
  • More physician responsibility for patient care

    Michael R. McGuire
  • The medical education question that needs to be changed

    Bo Cheng, DO, PharmD

More in Physician

  • A step‑by‑step guide to crafting meaningful research questions

    Julian Gendreau, MD
  • How restrictive opioid policies worsen the crisis

    Kayvan Haddadan, MD
  • The dying man who gave me flowers changed how I see care

    Augusta Uwah, MD
  • How market forces fracture millennial physicians’ careers

    Shannon Meron, MD
  • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

    Jerina Gani, MD, MPH
  • Guilty until proven innocent? My experience with a state medical board.

    Jeffrey Hatef, Jr., MD
  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • What is professional identity formation in medicine?

      Adrian Reynolds, PhD | Education
    • A step‑by‑step guide to crafting meaningful research questions

      Julian Gendreau, MD | Physician
    • When recurrent UTIs might actually be bladder cancer

      Fara Bellows, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | 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 3 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

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • What is professional identity formation in medicine?

      Adrian Reynolds, PhD | Education
    • A step‑by‑step guide to crafting meaningful research questions

      Julian Gendreau, MD | Physician
    • When recurrent UTIs might actually be bladder cancer

      Fara Bellows, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | 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

To scribe or not to scribe? That is the question.
3 comments

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

Loading Comments...