Physician, Scribe, and Patient Perspectives on Clinical Scribes in Primary Care

Journal of General Internal Medicine, Nov 2016

Anita D. Misra-Hebert MD, MPH, Chen Yan MD, Michael B. Rothberg MD, MPH

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Physician, Scribe, and Patient Perspectives on Clinical Scribes in Primary Care

Physician, Scribe, and Patient Perspectives on Clinical Scribes in Primary Care Anita D. Misra-Hebert 1 Chen Yan 0 Michael B. Rothberg 1 0 Neurology Residency Program, Neurological Institute, Cleveland Clinic , Cleveland, OH , USA 1 Department of Internal Medicine and Center for Value-Based Care Research, Medicine Institute, Cleveland Clinic , Cleveland, OH , USA - with the electronic health record at the time of the visit, they are likely to do so many hours (if not days) later, when important details may be lost. Reviewing our own physicians’ notes, we found that scribed progress notes were equal to, if not better than, notes written by the physician alone.4 Building and maintaining the physician–patient relationship, especially in primary care, should be the focus of the physician’s daily work. As in all complex human endeavors, from military operations to aviation, success is best achieved through specialized teams where each member brings unique skills and dedication. Primary care is late in coming to this realization, but it is welcome nonetheless. Compliance with ethical standards: Conflict of interest: The authors report no conflict of interest. 1. Yan C , Rose S , Rothberg MB , Mercer MB , Goodman K , Misra-Hebert AD . Physician, scribe, and patient perspectives on clinical scribes in primary care . J Gen Intern Med . 2016 ; 31 ( 9 ): 990 - 995 . doi:10.1007/s11606- 016 - 3719 -x. 2. Misra-Hebert AD , Rabovsky A , Yan C , Hu B , Rothberg MB . A team-based model of primary care delivery and physician-patient interaction . Am J Med . 2015 . doi:10.1016/j.amjmed. 2015 .03.035. 3. Sinsky C , Colligan L , Li L , et al. Allocation of physician time in ambulatory practice: a time and motion study in 4 specialties allocation of physician time in ambulatory practice . Ann Intern Med . 2016 . doi:10.7326/M16- 0961 . 4. Misra-Hebert AD , Amah L , Rabovsky A , et al. Medical scribes: how do their notes stack up? J Fam Pract . 2016 ; 65 ( 3 ): 155 - 159 .


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Anita D. Misra-Hebert MD, MPH, Chen Yan MD, Michael B. Rothberg MD, MPH. Physician, Scribe, and Patient Perspectives on Clinical Scribes in Primary Care, Journal of General Internal Medicine, 2017, 244, DOI: 10.1007/s11606-016-3888-7