KevinMD

Electronic health records cannot replace a doctor who knows you

KevinMD

The introduction of electronic health records (EHRs) was accompanied by a great deal of fanfare. Such systems, which replace old paper-based charts in doctor’s offices and hospitals, were designed to make patient data more accurate, safer and more accessible.

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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.

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.

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?

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.

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 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.

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.

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.

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.

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.”

Patients: Take back your health information. Here’s how.

KevinMD

Have you ever wondered why your personal health information essentially belongs to your health care provider or institution? I mean: why do they keep your information under lock and key, and you have to sign a release to get it? After all, it’s your blood that they just pulled out and tested, it’s your body […]. Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. Tech Health IT Hospital-Based Medicine Primary Care

Death by 1,000 clicks: Where electronic health records went wrong

KevinMD

The pain radiated from the top of Annette Monachelli’s head, and it got worse when she changed positions. It didn’t feel like her usual migraine. The 47-year-old Vermont attorney turned innkeeper visited her local doctor at the Stowe Family Practice twice about the problem in late November 2012, but got little relief. Two months later, […]. Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. Tech Health IT

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?

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.

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.

AI in medicine: Separate hype from reality

KevinMD

As a physician trying to keep up with all the new information about artificial intelligence, I want to know how machine learning and deep learning are impacting medicine now and to separate the hype from reality.

I didn’t become a physician to do data entry

KevinMD

The trouble began when I needed to open the electronic health record (EHR) system for the tenth time that day. EHRs have significantly changed the way we practice medicine.

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Millennials want convenient care

KevinMD

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

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.

The secret to making AI work for physicians

KevinMD

If you are a physician or know a physician or have ever visited one, chances are you have probably heard them complain about technology in health care.

Do physicians have a right to be forgotten?

KevinMD

When we all lived in villages, knowing individual merchants allowed you to identify and avoid the cheats. As we urbanized, brand names became the reputational marker. But when you are dealing on the internet, where no one “knows you’re a dog,” what guarantee do you have?

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Carefully consider every aspect of the integration of AI into health care

KevinMD

AI, artificial intelligence, is all the rage right now in medical news media. And this has many practicing physicians, even medical students, concerned. Will AI make diagnose heavy specialties such as dermatology and radiology obsolete? Can AI give rise to new medical specialties?

How EMR alert fatigue overwhelms physicians

KevinMD

As a hospitalist, like most in health care, I am afflicted by the slow march of thousands of mouse clicks on the electronic health record (EHR) every day I work. But after starting a new job and learning a new EHR, I have become painfully aware of the volume of alerts that pop up when […].

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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.

Would you trust Alexa with your patient data?

KevinMD

Amazon has opened a new health care frontier: Now Alexa can be used to transmit patient data.

Keeping up with the rapid developments in mobile health technology

KevinMD

I had the opportunity to participate in a day-long meeting sponsored by the Heart Rhythm Society (HRS). The goal was to help HRS develop recommendations for physicians and industry on providing patients access to information generated by wearable and implantable cardiac electronic devices.

Digital health and artificial intelligence provide solutions to the global crisis in surgical care

KevinMD

In many countries around the world, women giving birth still face substantial risks to their own lives and that of their baby. Women travel for days to reach facilities that are understaffed, unsafe, and unequipped to provide life-saving surgical care.

Are we making artificial intelligence biased?

KevinMD

The tale is told of a large realm, of 1.4 billion, the largest nation in the world. It has a culture that is old, rich and grounded. A citizen’s worth can be understood, determined, exalted or decried. In modern times said country has a visionary leader for life.

Is your smartphone leading to burnout?

KevinMD

Burnout and dealing with its symptoms has become a hot topic in the last decade. It’s a problem that has multiple contributing factors. Some of those factors are thrust upon us and are beyond our control, such as government regulations.

The one patient that drives physicians to burnout

KevinMD

We all have that one patient. That one patient who can always find a way to turn a good day bad, who just knows how to push your buttons in all the wrong ways. Who’s that patient for me? Let’s just call him Elton Reed. Oh, Mr. Reed … where to begin with him?

Understanding 6 trends shaping health care through gastroenterology

KevinMD

If you throw a pebble today, it's likely to land on an article that talks about how artificial intelligence and its brother — machine learning — are changing health care. Yes, I get it broadly. But I was curious to explore how exactly health care's trends are shaping a single medical specialty.

Why virtual visits may be an important tool for your practice

KevinMD

Telemedicine has been available now for a number of years. Despite being widely accessible, it still struggles to maintain a foothold in the minds of many traditional practitioners.

A smarter EMR will make visits more patient-focused

KevinMD

What do our patients really want from us? When a patient calls up to schedule an appointment, or sends us a message through the patient portal, or calls our front desk staff to leave a message, what is it that they're looking for?

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The truth about artificial intelligence in medicine

KevinMD

For many months, artificial intelligence has been in my peripheral vision, just sitting there, ignored by me because it seemed too far in the future to be interesting now. And then, there were all these terms — Big Data, machine learning, data science — which circled the subject and, frankly, gave me a bit of […]. Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. Tech Health IT Mobile health Twitter

What if EMRs can never capture the clinical experience?

KevinMD

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Will artificial intelligence be able to have this conversation?

KevinMD

Transformation of health care is underway: The landscape is filled with innovation, and the horizon is dotted with technological possibilities of “Star Trek” ilk.

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How Google is quietly influencing medicine

KevinMD

With nearly 80 percent of internet users searching online for health-related information, it’s no wonder the catchphrase “Dr. Google” has caught on, to the delight of many searchers and the dismay of many real doctors. What’s received little attention from physicians or the public is the company’s quiet metamorphosis into a.Read more. Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. Tech Health IT Public Health & Policy

Physicians must reclaim the medical record

KevinMD

A guest column by the American College of Physicians , exclusive to KevinMD.com. I recently saw a new patient who came to our practice following a lengthy hospitalization. He is in his 80s with a fairly complex medical history typical of many in this age range.

A new health care dawn is coming

KevinMD

At some point in my career, I had the crazy idea that if I could scale the patient-centric work I was doing in my community at a small rural hospital — then I could make more of an impact. This is why, when a technology company came calling, dangling a carrot in front of my […].