Comment by datavirtue
3 months ago
In my city it's an underpaid work-a-day job that half of them hate. There is something about being trapped that can make any job sick the life out of you.
I remember a former CEO who would come into work each day and let out a heavy sigh before unlocking his office door. I learned that he was trapped in the job until he retired for various reasons...most of his own making.
It's the paperwork. Most people have no idea the amount of paperwork doctors have to fill out - it adds up to 20-30 hours of it per week. It's getting close to a full time job by itself. Think about how pleasant the experience is of filling out bureaucratic/government paperwork, and now imagine doing that as a full time job.
What? This doesn't sound right at all. I've worked very closely with Doctors during the implementation of EHR systems and they don't spend nearly that much time on paperwork. They spend a couple minutes charting things for each patient. Then about 30 minutes at the end of the day going over anything that's been flagged by admin. Then about 1-3 hours every two weeks adjusting rejected claims.
There's certainly a lot of paperwork that has to be done, but doctors aren't doing it.
Part of being a good doctor is good bedside manner. They're not going to bitch about it to a stranger, but it's a huge and well known problem that is almost certainly the single biggest cause for doctor burnout (which is extremely widespread). Some random source (though my experience comes from family) :
"What they learned was that during office hours, half the time — a huge chunk — was allocated to desk work, like documentation in the electronic medical record (EMR), reviewing test results, handling medication requests, and filling out forms. What was remarkable was that even during office visits, doctors interacted with their patients for only half of the time; the rest was EMR and paperwork. As a matter of fact, for every hour of face-to-face patient time, another two hours were spent on desk work." [1]
The paper mentions that was the amount of time spent for doctors with "documentation support" (various forms of automation/streamlining) that would generally be absent in something like a primary care physician's office, meaning he'll be spending substantially more time on paperwork. The paper also (at a quick skim) did not mention out-of-office work, where doctors often spend even more time filling out paperwork. And there are also regulations meaning doctors themselves have to be the ones filling out much of this paperwork.
[1] - https://www.health.harvard.edu/blog/physicians-paperwork-and...
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