#MedThread
1/6
I found this disquieting. Aside from topics within (EHR on board exams?!) the framing of the issue feels deeply flawed
1. This shifts burden to students (& residents, fellows et al) when the ? should be can EHR companies reengineer to be more efficient & effective? https://twitter.com/amermedicalassn/status/1200625877358403584
2/6
2. Assumes a single, uniform “EHR” when this is not the case. If a student gets training in one EHR, then takes job where a different one is used, then that training, & all resources invested to build it, are wasted.
It’s a fallacy to think skills in EHR are interchangeable.
3/6
I was a Cerner super user at my last job, when I moved my new job was on meditech. I was a rank novice. (I can just see the vigorous head-nodding right now)
Only consistent thing was Dragon dictations, but none of my curated boilerplates or favorites carried over
4/6
It was really frustrating. All of my clinical & leadership skills readily transferred, which was very cool. My EHR skill, which was developed thru much time & effort, was worthless. Again, I can just feel the head-nodding...
6/6
I have no interest in returning to paper charts FTR. It is essential as we untangle the EHR knot that we start by asking the right questions, having correct expectations, & delegating responsibility correctly.
FIN
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