Physician Productivity

Maybe it’s my German ancestry that makes me enjoy reading productivity blogs. My favorite is Asian Efficiency but there are others that cross my blogging path. Today I came across this article: Why Your Brain Can’t Handle an All-Day Schedule.

ScheduleThis is not the first time that I’ve read about loss of productivity in environments where people sit in front of a computer all day. But it lead me to thinking about physicians who practice in present day medical office environments where the pressure of productivity is all-encompassing. Even though my schedule is not nearly as demanding as many doctors, on those days where I see more than 18 patients I realize that it is not only my intellectual capacity that plummets, but more importantly, my empathy quotient takes a nose dive. Somewhere around 4 pm, or #17, I am pushing away the weight of all the unfinished tasks, unfilled prescriptions and forms sitting on my desk as I try to listen to a patient problem. Couple this with the continual interruptions while trying to finish notes and it becomes obvious why physicians lack creativity if they remain in the typical constraints of a normal medical office.

Over the last several years primary care physicians have been pushed to see more patients, adopt new skills, like EHR, with steep learning curves while keeping up productivity-an oxymoron if one ever existed. This while we accept less pay, keep up with continuing educational needs and remain supportive to spouses, children and often elderly parents. If you add up the hours involved in just doing the above there is little space for exercise, reading, mediation or any other “leisure” activities that give life deeper meaning.

It is little wonder the creative element is lost on doctors.

Let’s hope new models of reimbursement, EHR’s that truly help us take care of our patients, Medical Social Media, improving patient advocacy and better models of care give physicians back some time–and with it, the creative art of medicine.

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