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In this episode, we sit down with Jay Anders, a physician executive, to discuss the evolving landscape of health care. We explore his unique insights on leadership, the challenges facing today’s medical professionals, …
When it comes to science and medicine, knowing where you are and where you want to go is only part of the problem. That’s because no matter how strictly you try to control your system, chaos theory dictates that there will be perturbations which, if not corrected for, will lead you far astray. Trying to stay on course in a dynamic environment has been a problem since humanity began traveling …
As a health care writer and patient advocate for people in pain, I spend a lot of time online on venues like Facebook, Quora, LinkedIn, and X (formerly Twitter). I am visible. And because I am visible, many people reach out to me seeking help or doctor referrals to the few clinicians who are still prescribing safe and effective opioid pain relievers. In recent years, I have also been contacted …
The U.S. health care industry is facing a nursing shortage crisis driven in part by burnout and technology burden, which was further emphasized by the COVID-19 pandemic. To improve working conditions for nurses and drive quality patient care, industry leaders must prioritize implementing technologies that support the nursing workforce and care delivery.
I practiced earlier in my career as a critical care nurse at Boston’s Beth Israel Deaconess Hospital. From this …
AI note-writing software will provide massive short-term relief to stressed-out physicians, effectively disconnecting the quality of notes from personal data entry skills. Unfortunately, after a brief respite from the stress of documentation, things could worsen.
The first EMR software was implemented in the early 2000s. The increased stress of digital documentation caused physician burnout rates to jump by 20 percent. Every study conducted since that time has identified documentation burden as …
Dot phrases work like magic. Just type a few keystrokes, and poof—a full template appears! But how do you pick shortcuts that don’t interfere with your regular typing? And how do you remember all these shortcuts? Over the years, I’ve made tons of templates, each with its own shortcut. I’ll explain the system I use for memorable shortcuts that don’t mess with my regular typing.
What is a shortcut? A shortcut, …
The potential advances that AI will bring to medicine boggle the mind and portend massive changes, the likes of which we have not experienced since the advent of modern surgical techniques, the development of image-based diagnostic methods, and the discovery of effective medications. As a primary care doctor who has worked at San Francisco General Hospital for over 30 years, and as someone who has worked through the epidemics of …
A few years into my faculty career, my division chief met with me to discuss late charts. “Britt, charts,” she said. “You just have to make it happen.” I don’t remember much about the specifics of what was said in that meeting, but I know exactly how I felt: a flood of shame overlying simmering anger. This someone that I respected, someone who had carved a way for the department …
By now, you have probably heard of AI and tools like ChatGPT. But you still may be wondering how these tools apply to your clinical practice.
Let me share an experience I recently had that completely changed how I think about AI (artificial intelligence) in health care.
In one of the MBA classes I am taking at NYU, we write code to help analyze large datasets. …
As a physician and digital health practitioner, I have seen firsthand the challenges of ineffective patient education and the immense potential for technology to revolutionize how we inform, engage, and empower patients in their health journeys. Imagine a future where every patient, regardless of their language, cultural background, or health literacy level, can receive tailored, engaging, and easily understandable video content that empowers them to manage their health effectively. This …
Health care technology has a long history of getting it wrong. The electronic health record (EHR) boom of the late 2000s was a remarkable transformation — taking our sector from paper charts to computers in a matter of just a few years. Unfortunately, most of the technology that was so feverishly adopted was developed without clinical input and with a focus on medical reimbursement and policy-compliance checklists over medical care. …
It is time to consider a blend of paper and electronic records. Paper records will not remain relevant forever, nor will electronic records remain infallible. The purpose of any record is to ensure that the past is preserved. If the past is lost, the present feels weakened. However, this sense of weakness arises only when the present constantly relies on the past. What if there were no past to refer …
Social determinants of health (SDoH) have a strong potential to positively and negatively affect health outcomes, but providers have traditionally faced substantial roadblocks in identifying patients who need SDoH interventions.
The result of this gap is often missed opportunities to improve patient health at the individual and population levels.
SDoH factors are responsible for up to 80% of health outcomes, according to the Robert Wood Johnson Foundation, yet patients and providers …
The field of artificial intelligence (AI) has been around since the mid-20th century, but in the last two years, it has gone from science fiction to science fact at an incredible pace. Large language models (LLMs) like ChatGPT have dominated headlines in this space. LLMs are essentially AI systems that can understand, generate, and manipulate human language in various domains. LLMs represent a once-in-a-generation technological advance that holds incredible promise …
Are you tired of spending hours deciphering your colleagues’ EMR notes or struggling to understand your own? Excessive details in documentation can lead to confusion and decreased productivity. Leonardo da Vinci once said, “Simplicity is the ultimate sophistication.” It’s time to declutter your documentation and unlock the benefits of clear, structured clinical notes.
Why you should write clearer notes
Bloated notes clutter up space on your screen and in your thought process, …
“Ms. Lupo is a 39-year-old female presenting to the ED with a chief complaint of unilateral dead arm.” So read a hypothetical patient scenario during my class one day. As a team of first-year medical students, our job was to review the patient’s case, including history of present illness, past medical history, family history, and symptoms, to diagnose and formulate a care plan to treat Ms. Lupo’s arm. Within seconds, …
As cancer clinical trialists with sub-specialized practices, we treat patients from across the country. But while they must travel for treatment, there are clear occasions where we recognize that advice and consultation by telephone, video, and patient messaging are perfectly safe and far more convenient and cost-effective.
Telemedicine across state lines was the legal norm during COVID-19. Patients and practitioners quickly recognized that Americans deserved access to physicians unencumbered by …
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