More doctors should have this approach. “I will not accept more clicks.” We could make it a pledge. John Paul G. Kolcun GeroDoc

“No more clicks for doctors. No more clicks for residents. No more clicks for nurses.”

Lots of talk about clicks in the EMR among Robert Oubre, MD | The Doctor of Documentation, Aaron Goodman - “Papa Heme” and Anthony DiGiorgio, DO, MHA - so I thought I’d bring this tweet back to life… Clicks? Programs? Logins? #MedTwitter #MedX

In addition to demanding fewer clicks, physicians should demand efficient logins and fast IT infrastructure.

Goodhart's Law is expressed simply as: “When a measure becomes a target, it ceases to be a good measure.” 🏥Administration ❤️❤️❤️metrics, not patients

There are ways to take this burden off the physician right now. From low tech (scribes) to high tech (AI). All it takes is for enough physicians to say “no, I won’t submit to more clicks.”

Health systems need 'inboxologists' 🤦🏻‍♀️🤦🏻‍♀️🤦🏻‍♀️ ⁦Anthony DiGiorgio, DO, MHA⁩ ⁦Brian Gantwerker, MD, FAANS, FACS 🟧🇮🇱⁩ ⁦Sanjay S. Dhall, M.D⁩ ⁦Anish Koka, MD⁩ ⁦Art Fougner PGY50⁩ ⁦Marilyn Heine⁩ ⁦Westby Fisher, MD⁩ ⁦Vinay Prasad MD MPH⁩⁦〽️ahesh Shenai, 〽️D⁩ beckershospitalreview.com/healthcare-inf…

Maya Babu MD, MBA Anthony DiGiorgio, DO, MHA Brian Gantwerker, MD, FAANS, FACS 🟧🇮🇱 Anish Koka, MD Art Fougner PGY50 Marilyn Heine Westby Fisher, MD Vinay Prasad MD MPH 〽️ahesh Shenai, 〽️D Or maybe we should ask ourselves what these inboxes are truly doing to benefit patients ? While the benefit is unclear , they are driving physician burnout ama-assn.org/practice-manag…

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Excellent discussion!

Points I neglected to make: 1. Many trainees are currently pushing to decrease the amount of clinical hours during training at the same time np’s / pa’s are increasing the intensity of their training programs. 2. Increasing push towards algorithmic medicine , standardizing

It is even worse because metrics are chosen if they can be easily met. They seldom are what is important. The other issue is that the hospital data collection is often erroneous. Charts will drop out for no preop antibiotic because the reviewer doesn't realize where it is

Ascension has a $ 1 Billion fund offshore and is still allowed to operate as a non-profit. Non-profit is a euphemism for non tax paying.

Now do Medicare… Professor Lisa Grabert Vinay Prasad MD MPH Anish Koka, MD

I am not “behind” anything - I am right here front and center. A supporter of #humanity, #inclusivity and #collaboration. There comes a time to stand up to #antisemitism #tropes and lies. See the original CNS letter along side this attack. Anyone disagree with the original?

Principled, thoughtful, and correct. Your letter is spot on Dr Nader Pouratian FCNS and expresses what many in the neurosurgery and medical community feel.

🚨🧵”Facing a 5th consecutive year of Medicare payment reductions, AMA issued a clarion call today to CMSGov urging the agency to be fully transparent about the impact of these payment cuts on physicians and patients.”

This is a TOTAL mess Physicians face an average of 57 unique quality measures across 8 value-based contracts Many, if not most of these measures are worthless Administrative waste Burnout inducers Costly Takes away from real quality improvement

Amazing to welcome everyone WestNsurg to San Diego for #WestNsurg2024. Shout out to President Marco Lee and Sharona Ben-Haim, MD for her effort as local host. Congratulations Gerald A Grant MD on outstanding Prolo Lecture!