Having spent most of my career on one side of a note pad while looking at a source on the other, I’ve often wondered if others have felt the way I have about trying to connect with the story tellers I’ve come to rely upon for my professional endeavors.
As professional reporter and freelancer, I’ve spent much of my life trying to connect with and extrapolate information from those who have it to give and turn that information into compelling stories for the world to read. And, in many cases, even as a public relations professional who worked for an EHR vendor to tell stories to the media about our technology and how physicians used it to improve practice efficiencies and establish their electronic health records, I asked myself the same question: Am I connecting with those I’m speaking with while I work to paint their pictures with my words.
Even now, as a blogger and freelance PR professional I continue to ponder the same question. And, I’ve wondered, if I feel this way when I’m writing a story and the only thing coming between me and my source is a pad of paper, how must it be then for physicians that are now using computers to take notes and build cases histories for their patients during their exams?
One day this argument will be settled as a new generation of docs enters the workplace and take over practices left by their predecessors as they will never know an exam room without some sort of technology – computer or mobile device – but one can’t but help feel (at least now in the infancy of the true EHR days) that there has been a change in the way your physician practices now that he or she has a computer next to your exam table in the exam room.
I’ve noticed that the doctor seems to be some great distance away from me as if I’m having a conversation with someone 1,000 miles away. It’s the same thing as when you are in a conversation with someone while you are toying around your iPhone or Blackberry. You’re there physically, but in mind you are a long way away.
The same can be said for drivers who chose to talk on their phones. Clearly, the individual is behind the wheel letting their body’s muscle memory carry them through the task of shifting, steering and turning, but their cognitive thoughts are in the place of purgatory somewhere between the road in which they are driving and the person on the other end of the line.
With this in mind, just how much is being conveyed and captured by the physician who’s tapping away at their keyboard while their trying to guide you through the eight-minute office visit?
Speaking from the perspective of a professional journalist who has made a career of trying to capture the facts, figures and stories of those sitting next to me while I’m typing or writing away, I can safely say that much is being lost. This is especially true since shorthand and transcription is a skill not being taught at our top medical schools and residency programs throughout the United States. Heck, we can’t even get our young med students trained on using electronic health records prior to graduating into real life so why should we expect our doctors to have the skills of a professional journalist or court reporter.
So, if I still have problems at times with connecting to sources even with nearly 15 years of experience, I can guarantee you that physicians, who don’t make a living at capturing the heart of a story or even its most important elements, that not all of a patient’s most important information will end up in their health record.