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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Doc here- first of all, yes, if you don’t click with her and don’t trust that she does her job well then absolutely shop around. It’s your health and your life!

Second of all, when I document, there is an option for a template for almost every kind of encounter. If a kid has strep throat I click the template , add some details, delete some others, and lock the encounter. Otherwise I’d be documenting for 6 hours every evening after I left work. So yeah I’m sure a lot of those charts say I educated the family on a million types of infection control when I didn’t (although technically, legally, I did, by handing them the discharge paper that includes a million infection control suggestions). Does that make me a bad doctor? That’s up to you. I’m just trying to see patients and practice solid medicine, I’m not trying to write a novel for every standard patient encounter just so insurance companies will grudgingly agree to pay for your visit. But some people wouldn’t like that the chart is clearly sort of standardized, and that’s fine, my feelings aren’t hurt.  [/quote]

OP here. Thanks for this. Yeah, I kinda figured there's a ticky box and/or a preset form. And I know insurance is shite and getting them to pay out is a massive hassle. Helps to hear it again though.

I think she's alright. I just need her to fix my defect so I can go back to living my life. I don't think there's anything she can write or omit in the clinical notes that would keep her from being liable from any negligent or intentional bad outcome. I think I'm just autistic and dealing with a feelings thing happening in a clinical setting.

Ain't comfy though. It would be nice if my doctors had adequate time to explain things so I understand, with clinical notes to match so I can go back and review and reference. If only the system weren't so broken...[/quote]

I totally get it (PP here). We used to have scribes that typed out everything I told you. I and the patients both loved it. But of course, too expensive for the practice so now we just have pre-set templates. My own practice of medicine hasn’t changed but the note the patient reads afterwords has. I agree it’s hard for people to circle back around and re-read things that were hard to digest in the exam room (because many patients are stressed in the exam room and don’t remember things clearly!) but, again, unless I’m able to see way fewer patients every day, I can’t document all that.

Paper notes back in the 90s were like 2 lines long for this reason. [/quote]

My brother is a surgeon and his hospital is testing out AI scribes who listen and type up his notes for him. Then all he has to do is review and clean them up at the end of the day. He says for the most part, the scribe is accurate and he has very little cleaning up to do at the end of the day, and this allows him to spend more time talking to his patients. Maybe consider that?[/quote]

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