Physician Burnout in the Electronic Health Record Era

Donald E. Girard

doi:10.7326/L18-0602

Letters |5 February 2019

Physician Burnout in the Electronic Health Record Era

Donald E. Girard, MD

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TO THE EDITOR:

As an older general internist, I have lived through the many issues that Downing and colleagues (1) discuss. I remember with some humor that our academic center's intramural news sites circulated a photograph of me at a computer to show that even the oldest among us could learn to use the electronic health record (EHR). I succeeded in mastering the basics; however, facing increasing and seemingly needless requirements and less time with patients (and students, residents, and other learners), I left the struggle. In truth, my failure to meet the local EHR requirements ended my academic practice. The administrative requirements for physicians that are buried in the EHR are now staggering, and the additional requirements inherent in changing reimbursement from a fee-for-service system to a pay-for-performance and value-based one are virtually impossible to fulfill. The authors' points are strong and relevant.

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2019 American College of Physicians

Letters |5 February 2019

Physician Burnout in the Electronic Health Record Era

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Letters |5 February 2019

Physician Burnout in the Electronic Health Record Era

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