Medical Documentation in the EHR Age

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  • เผยแพร่เมื่อ 4 ก.ย. 2024
  • From brief handwritten ditties to detailed electronic templates, medical notes have undergone a tremendous - albeit polarizing - evolution since the dawn of the electronic health record (EHR). Join us Thursday for an eye-opening discussion about the changes to medical documentation, the unexpected consequences, and the steps we can take to reclaim the importance of electronic notes. Our special Gurpreet Dhaliwal Lecturer this year is Lisa Sanders, associate professor of medicine at Yale and author of the popular “Diagnosis” series in the New York Times Magazine.
    We established this annual Master Clinician Visiting Professorship, through a generous gift from a donor, to recognize the contributions of our many Master Clinicians in the DOM, especially our newest inductees: Nirav Bhakta, Beth Harleman, Steve Hays, Leslie Miya, and Hope Rugo. Every year the visiting professor gives the Gurpreet Dhaliwal Lecture in Medicine, which is named after our legendary clinician-educator and Master Clinician Gurpreet Dhaliwal.
    Speaker:
    Lisa Sanders, MD, FACP, is an associate professor at the Yale School of Medicine and medical director of the Yale Multidisciplinary Long Covid Clinic. She writes the popular and long-lived “Diagnosis” column for the New York Times Magazine. Her column was the inspiration for the hit television series House MD, for which she was a consultant. She also helped create a documentary series on Netflix, Diagnosis, which follows a series of patients with unusual symptoms in their search for answers. Her most recent book, Diagnosis: Solving the Most Baffling Medical Mysteries, is a collection of her New York Times columns. She is also the author of the New York Times bestseller, Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis. Before attending medical school, she was an Emmy-award winning producer for CBS News.
    Note: Closed captions will be available within 48-72 hours after posting.
    Program
    Bob Wachter: Introduction
    00:04:55-00:48:18 - Lisa Sanders, MD, FACP, associate professor at the Yale School of Medicine and medical director of the Yale Multidisciplinary Long Covid Clinic
    00:48:30-01:01:49 Q&A
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ความคิดเห็น • 2

  • @ShimmyMD
    @ShimmyMD ปีที่แล้ว

    Wonderful talk. I’ve been thinking about this as well and I’m glad I saw this talk in July when the new interns are here!

  • @jambassadorwes9010
    @jambassadorwes9010 ปีที่แล้ว

    Another reason for note bloat is poking around the record is time consuming. More efficient to import all the data into an ever-growing note. This avoids looking at vital signs and I/Os flow sheets, imaging studies under radiology, the MAR under Medications, etc. A templated note can insert all the data, recent consult notes, echo/cath reports, labs and layer them into your own note to which you add today’s preferably brief assessment and plan.