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08/24/2023 Brian Kiel, DPM
Regrets About Switching to EMR (Jon Purdy, DPM)
I responded to PM News previously, but after seen Dr. Purdy's letter I felt that I had to respond. I do not think that EMR has been a joke. It has not taken away my concentration on a patient as I am not busy writing into a chart were talked with the patient. I can concentrate on the patient, I can look them in the face if I have to make a note i keep a pad next me. Then I leave the room and immediately dictate into the chart through my EMR.
Yes, I do use some template but they all have places to individualized them and if the patient's condition varies from the norm I just dictated as a fresh note. I see 35 to 40 patients a day, working from 8:15 to 11: 15 and from 1:00 to 4:15 daily. I see approximately 5 new patients in the morning and approximately 5 new patients in the afternoon.
When I leave at 4:30 PM or so, my charts are done and my charges are in. No one has to interpret my handwriting. The patient once a copy of the chart they can have it at that moment. If I need to pre- cert or if I need to send a chart for an MRI or physical therapy it can be done at that moment. If I write a prescription and there is a contraindication, I get an immediate red flag. If I prescribed a medication and there is an allergy which the patient did not tell me about I get a red flag.
When I get chart notes from other doctors, there may be extraneous information but I can read it because it is in a typewritten form. When you dictate, you have to think about what you saw and what you did. When you scribble your note usually is exactly what they are scribble notes and not a complete chart (I know everyone does not do that but it is very common.).
I have used some form of EMR since 1981 and I love it. It seems to me the biggest complaint about EMR is the cost. Yes, there is a cost but there is always a cause for new technology. I do not think any of you dependent upon a land line for anything any longer. You have your cell phone which is more expensive more difficult to use but it gives you a lot more information and is far more useful than a landline.
Brian Kiel, DPM, Memphis, TN
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