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Yes, doctors should focus on the patient and the family, not the computer. Technology should be scrutinized to be more supportive. Yet a significant problem with this article is that it provides no comparison to other professions. "A clinician will make roughly 4,000 keyboard clicks during a busy 10-hour emergency-room shift" -- I doubt that 4,000 "keyboard clicks" is unusual for any profession at present, even one where attention is moving across interactions with patients, colleagues, machines, and the computer. A page of text is about 3,000 characters. (Aside: I'm actually not quite sure what is meant by a "keyboard click" is -- maybe the author is talking about mouse clicks or toggling checkboxes; elsewhere in the article the phrase is "4,000-key-clicks-a-day" -- if it's just 4,000 taps to keyboard keys, that's a pretty low number. I don't think that 4,000 checkbox or mouse clicks is even really such a big number. Answers here (https://www.quora.com/What-is-the-avarage-number-of-mouse-cl...) suggest between 5000 and 7000 mouse clicks/day. Another resources says a doc does about 2500 clicks/day -- http://www.healthcareitnews.com/infographic/infographic-one-... -- and that's for a 16 hour shift.) In any case, is there something distinct about clinician work with regard to the use of computers, compared to what we're all doing? A claim that there is would strike me as special pleading. If there is an argument to be made, it must be made comparatively. The author also claims that "Even if the E.H.R. is not the sole cause of what ails us, believe me, it has become the symbol of burnout" -- do doctors _really_ suffer from more burnout than other professions? _Doctor-authored_ studies may say so, but we need to have unbiased studies of burnout across the professions, and understand generally how being lassoed to a computer affects morale. |