[vedtopkar]

Having spoken to a lot of doctors during medical school, it really does feel like a generational thing. Physicians who were trained in the pre-EMR times have a really hard time transitioning. This is partially a UX design failure on the part of EMR companies.

The newer crop of physicians have a much better time using EMRs. Don't get me wrong, they are acutely aware of the ridiculousness that is modern billing-centric medical records. But having been trained in that atmosphere, it definitely appears less painful to their day-to-day.

[euthymiclabs]

Perhaps. The older generation has a lot of trouble with computerized systems in general. The younger generation of doctors (including me!) can handle them just fine but find them still to be an overwhelming waste of time.

I'd love it if we just had a great API that workflows could be build upon. And I'd kill for a command line EHR!

[dogmatism]

I'm older, and maybe this speaks to my age, but I also daily dream of a TUI EMR. Orders done using awk for text field processing, grepping for results, editing notes in vim with medical syntax highlighting and completion...

Alas, I spend my days cursing as Cerner re-draws the unnecessary html and the focus refuses to follow the mouse, and that no one along any of multiple points took the time to write an interaction checker that didn't result in getting three popups to acknowledge that epi boluses given at separate times during a code (and now the patient is dead) don't interact.

[vedtopkar]

Oh man, this would be a dream...

[vedtopkar]

Absolutely agree. The frustration with how much time is wasted is certainly universal.

I would kill for a command line EHR, especially if I could edit notes in vim!

[chromatin]

OMG I am in love with the thought of API and CLI based CPOE/documentation.

[josephpmay]

A lot of Epic, at least on the technical side, is still accessible via the command line. I wonder if patient charts can be.

[ghaff]

Partly generational, partly how ingrained habits/preferences are.

I had to switch from my primary care about a year ago. (He was getting out of doing primary care work because, he said, he had a small practice and just couldn't deal with the paperwork.) From the beginning, he really resisted the computerized systems and probably complained about them pretty much every time I was in for a physical.

My new primary care, in the same hospital system, and not that much younger at least gives the appearance of encouraging things like tele-medicine, using the medical portal, and so forth.

[vedtopkar]

Totally. "Older" physicians who happen to be tech literate definitely have an easier time transitioning.

[rscho]

On the contrary. Young docs hate EMRs with unrivaled passion. I am personally convinced that EMRs are a frequent indirect cause of suicide among young docs.