medical professionalism

The Covenant

Burnout among doctors appears to be at epidemic proportions these days, with concomitant gushing prescriptions for wellness and resilience. But in reality, most doctors are not burned out: most love taking care of patients and want nothing more than to be able to do just that. The source of the agony is the profession—or rather the corporatization of the profession… More

EMR Ménage-à-Trois

EMRs have both breathtaking assets and snarling annoyances. But what started out as a tool — a database to store information more efficiently than the paper chart — has inserted itself as a member of the medical team. What used to be a tango between the doctor and patient is now a troika. More

Empathy in the Age of the EMR

We doctors have been reduced to tools of mere data entry. A higher being might peek into our exam room and be unable to distinguish the doctor from the sphygmomanometer. There is at least one upside to this mess, however. The aggressiveness of the EMR’s incursion into the doctor-patient relationship has forced us to declare our loyalties: are we taking care of patients or are we taking care of the EMR? More

The Daily Exploitation of Medical Staff

Corporate medicine has milked just about all the “efficiency” it can out of the system. With mergers and streamlining, it has pushed the productivity numbers about as far as they can go. But one resource that seems endless — and free — is the professional ethic of medical staff members. More

Patients vs Paperwork

Like some virulent bacteria doubling on the agar plate, the EMR grows more gargantuan with each passing month, requiring ever more (and ever more arduous) documentation to feed the beast. It’s time to take action. More

An Epidemic of Disillusioned Doctors?

“That’s it,” I thought, after an overwhelming morning in clinic. “I quit!” It’s a thought that crosses the minds of the majority of doctors, it seems. A survey of more than 13,000 doctors found that more than two-thirds feel negatively about their profession. More

Books by Danielle Ofri

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