A family physician reflects on his own experience with open-heart surgery and the process of care in a top-flight academic medical center.
I am running on a treadmill. Perhaps you are, too. Your treadmill may be meeting productivity goals for patient visits, building a successful academic career or balancing work and family. Mine is a real treadmill, the kind that gets faster and steeper every three minutes. read more…
“It seems that the patient, the document and the clinician are growing apart.”
“…Delegation is replacing integration in our patient histories, and format is winning over content in our records.”
“Physicians and nurses now touch the keyboard more than they touch the patient.”
“…The documentation imperative now drives the clinical encounter.”
“The map is not the territory and the medical record is not the patient, even when it is on a computer.”
“If communication, touch and healing are to be part of our “best practices,” then we need to continue the search for ways to make the patient the focus of patient-centered care.”
“As we move our practices to team-based care, we need to make sure the patient sees and feels that the care team is real and that the team really cares.”
“When we work in teams we must be sure that, along with efficiencies, come feelings.”
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Copyright © 2013 W.R. Phillips
Originally published in:
Phillips WR. The Heart of the Matter. Washington Family Physician. 2013; 40(4):12-13.
Used with permission.