KevinMD

Voice to text solutions could turn EHR-burdened medical professionals into doctors again

KevinMD

Just imagine the following: your assistant invites in Ms. Nichols, who has a migraine, a bad cough, and feels nauseated. You sit down, start talking about the symptoms, see her throat, measure her temperature, pulse rate, inquire more about the headache.

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Virtual scribes are game-changers for physicians

KevinMD

Today was like no other day. It was our first day together. Me and my "virtual" scribe — an actual person who seems to "virtually" to exist inside of a Jabra speaker on my desk and so subtlety that I forgot to mute a few times when not seeing patients. The "man" in the Jabra […].

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A slow death by charting

KevinMD

It's 10 p.m. Seven days before Christmas. I'm sitting at work "finishing" up some charts. I am suddenly overcome with anger. What am I doing here right now at this minute? I am helping no one. This work I'm typing away at — trying so hard not to scream — it's hoops. Fucki*g hoops. […].

5 clinician concerns about OpenNotes

KevinMD

More than 200 health organizations have now implemented OpenNotes. Many more are piloting, are soon to implement — or have implemented, and we don’t know it!

Virtual Front Door or Brick Wall? Care Pathways in Healthcare

Are you offering your patients a virtual front door or a brick wall? Today, 85% of healthcare visits start online. If your patients don’t have a way to access care virtually, you’re losing them to Dr. Google. Clear care pathways that start online ensure your patients get the best care they need while staying loyal to you.

Both physicians and patients need to stop viewing technological tools as threats

KevinMD

A recent study published in Science, one of the world’s leading academic journals, found that a predictive health care algorithm discriminated against black patients.

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The limitations of artificial intelligence in cardiology

KevinMD

Artificial intelligence (#AI) seems to be all the rage these days, as it should be, given its potential to revolutionize medicine in many ways. #AI AI is actually already an integral part of many of our lives on Google, Amazon, Facebook, and other sites.

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Artificial intelligence in medicine raises legal and ethical concerns

KevinMD

The use of artificial intelligence in medicine is generating great excitement and hope for treatment advances. AI generally refers to computers’ ability to mimic human intelligence and to learn.

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How have EMRs changed the doctor-patient relationship?

KevinMD

I have penned several posts on the pitfalls of the electronic medical record (EMR) system that we physicians must use. Indeed, I challenge you to find a doctor who extols the EMR platform without qualification.

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How technology ruined, and can save, the doctor-patient relationship

KevinMD

Each year, Medical Economics surveys physician readers to find out what irks them most. Topping the latest list: insurance paperwork, followed closely by electronic health records (EHRs). The reason is the same for both. Insurers and EHRs get between doctors and their patients.

Convenience Care Is Here, and It's Eating Your Lunch

Patients want high-quality care that is accessible and affordable. If they can’t get it from you, direct-to-consumer healthcare services make it easy for them to get it somewhere else. Give them the ability to consume your services just like they consume everything else in their lives: on their phones or computers, quickly, and where it’s convenient for them.

When physicians focus more on screens than patients

KevinMD

As Wei Wei Lee sat with her doctor to discuss starting a family, she felt a “distance” between them. The physician was busy on the computer and focused on the screen. “It It just didn’t feel very personal,” Lee said. “I I didn’t feel heard.”

Telemedicine and access: Leave no patient behind

KevinMD

Telehealth, using video to have an acute medical care visit, puts some of the power of choice back into our patient’s hands.

Could patients be their own scribes?

KevinMD

One day while on shift in the emergency department, I looked out into the waiting room at the dozens of people waiting to be seen. Many had been waiting for hours. Some looked bored. Others appeared agitated by the long wait time.

How telemedicine is increasing diversity in clinical trials

KevinMD

An important part of advancing medical research and drug development is making participation in clinical trials easier and more inclusive.

Stop Creating Disloyal Patients

90 percent of patients feel no obligation to stay with a healthcare system that doesn’t offer digital tools. What can you do in the face of such a sobering statistic? Patient-facing telehealth options that allow patients to get virtually instantaneous care privately, securely, and from anywhere can keep your patients from seeking care from the easiest, nearest, and cheapest provider.

9 hacks that will increase your clinical efficiency immediately

KevinMD

I recently spoke with a colleague who transitioned out of the military in the last year. He was previously excited about his new job opportunity, but now a year later, he tells me, "I hate civilian medicine."

Electronic medical record interoperability is a total mess

KevinMD

Just the other day, while I was in the middle of seeing a morning schedule full of patients, I opened one patient's chart and was thrilled to see a whole bunch of new icons in Chart Review in the electronic health record that I had never seen before.

How telemedicine intersects with AI, social media, and precision medicine

KevinMD

Telemedicine will eventually become a more prominent part of our clinical practice, with the incorporation of artificial intelligence (AI) and social media and networks, and integration with precision medicine in electronic health records.

How telemedicine can help patients and solve physician burnout

KevinMD

I have been practicing telemedicine successfully for four years. In 2015, I had to beg doctors to work in telemedicine. Because so many doctors were wary of it, I started to get licensed in multiple states, and now, I have 15 state licenses. Well, what a difference a few years makes.

Forrester Names Leader in Virtual Health Care Solutions

Forrester Research identified and evaluated the top players in digital health. Read the report to see who stood out—and who needs to catch up.

The robot will see you now

KevinMD

The year is 2050. You enter the room, ready to speak with your next patient, a 60-year-old white male with recent episodes of chest pain when he climbs the stairs to his office. Before sitting down to speak with him, a monitor in the room pulls up his recent lab work and current medications.

How can data analytics to improve the care and outcomes of cancer patients?

KevinMD

I want to share some thoughts about artificial intelligence, or as I prefer to call it “data analytics.” Fundamentally: How can we capture the capability of analytics to improve the care and outcomes of cancer patients?

What physicians can learn from anthropologists

KevinMD

Since the passing of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009, it has been said that health tech would dramatically revolutionize health care and the patient experience.

How non-video telehealth can be a cure for overprescribing antibiotics

KevinMD

When Dr. Fleming found penicillin mold in his Petri dishes in 1928, he had no idea of the impact he — and it — would have on global health. Penicillin and the antibiotic revolution that it triggered have saved countless lives and change world history.

Building Your Digital Health Ecosystem

With the fragmentation of the pharmacy industry, digitized provider networks can offer a much-needed solution to connectivity, data sharing, collaboration and interoperability between physicians, patients and pharmacies.

When an EHR is hacked by Russians

KevinMD

Hippocrates didn't have a server. In 2012 our practice invested $300,000 into building computer infrastructure and the purchase of a brand-spanking-new electronic health record, commonly referred to as an EHR.

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The clinical burden of documentation

KevinMD

The purpose of clinical documentation is to efficiently communicate critical data to peers in a readable fashion while meeting compliance and billing requirements. This documentation should not represent a data dump.

It’s OK if doctors can’t memorize everything

KevinMD

The storage capacity of the human mind is amazing. One estimate of the size of the brain’s “RAM” is as high as 2.5 petabytes (a million gigabytes). The number is based on the total number of neurons in the brain and the total number of possible connections per neuron. I suspect it is an overestimate, given the […]. Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. Tech Cardiology Primary Care

Will robots replace doctors?

KevinMD

Among the many recurring topics, this year has been the impact of machine learning in our lives, especially the implications for our future work life.

Telemedicine: Real-Time Trauma and Clinical Care with Global Reach

Today, connecting the patient to the right specialist is largely dependent on the patient’s ability to travel to the physician’s location. The ability to use technology to monitor patients in real-time, share information about their condition and provide treatment remotely, will improve the quality of care and save lives for patients everywhere.

Telehealth education: What do we actually need for our clinical practice?

KevinMD

As we go through our careers, we are given the responsibility of educating the next generation of students and residents to become proficient and competent in medicine. In telehealth, which also requires training my colleagues, is it necessary? If so, what should be part of it?

Just because EMRs can document everything doesn’t mean they should

KevinMD

It's always kind of a surprise when you read a patient's chart, and you see an examination of a body part they just don't have. Just the other day, I was reading a consult note on a patient of mine who had been seen by a subspecialist for evaluation of a serious issue, and I […]. Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. Tech Health IT

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Slow thinking and machine learning in medicine

KevinMD

Recently, several high-profile institutions have called attention to the issue of inclusion and equity when artificial intelligence (AI) algorithms are applied in medicine.

Millennials want convenient care

KevinMD

The Kaiser Health News article, " Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model ," caught my eye.

Community Health Centers: Increase Growth through Care Management + Telehealth

Understand the Growth Potential for Community Health Centers through this Easy-To-Use Care Management Guide. This guide covers Billing, Claims Processing and Payment for CCM, BHI and More!

Physicians sacrifice a lot to deliver care. Technology shouldn’t ask for more.

KevinMD

I had a great case the other night. Around midnight on a Friday, the hospitalist physician called me to evaluate an incarcerated femoral hernia. I thought this elderly and medically ill patient would likely die no matter what I did.

Technology is corrupting the culture of medicine

KevinMD

To help then-candidate Bill Clinton remain focused on the No. 1 voter issue ahead of the 1992 presidential elections, political strategist James Carville coined an unforgettable mantra, which he posted inside Clinton campaign headquarters. It read, “The economy, stupid.”

If you spend more than 80 percent of your day staring at a screen, you are no longer a doctor

KevinMD

The use of health care information technology has increased exponentially over the last five years, and as a frontline physician, I have seen this change at close quarters. In most of the hospitals I’ve worked in up and down the East Coast, it’s been interesting to observe this transformation.

The effect of mobile devices on our collective psyche

KevinMD

During a recent walk at Crystal Cove, a splendid California State Park with miles of pristine coastline, I encountered two young women sitting on a bench with a magnificent view of the ocean. Yet their only view of interest was their cell phone screens.