Allocation of Physician Time in Ambulatory Practice
Authors: Christine Sinsky, Michael Tutty, Lacey Colligan
Journal: Annals of Internal Medicine (2017)

Letters2 May 2017Allocation of Physician Time in Ambulatory PracticeChristine Sinsky, MD, Michael Tutty, PhD, and Lacey Colligan, MDChristine Sinsky, MDFrom American Medical Association, Chicago, Illinois, and Sharp End Advisory, Hanover, New Hampshire., Michael Tutty, PhDFrom American Medical Association, Chicago, Illinois, and Sharp End Advisory, Hanover, New Hampshire., and Lacey Colligan, MDFrom American Medical Association, Chicago, Illinois, and Sharp End Advisory, Hanover, New Hampshire.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0073 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Dr. Luh that many physicians believe that they have become data entry clerks, which cannot be good for patients. The rise in burnout between 2011 and 2014 (1), driven in part by the implementation of EHRs and associated regulations, has translated into a reduced U.S. physician workforce equivalent to the loss of 7 medical school graduating classes. If we include the decline in the effective physician workforce as physicians spend less of their professional effort on work for which they are uniquely trained, the real loss is far greater.Dr. Bishop and colleagues equate the ...References1. Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc. 2015;90:1600-13. [PMID: 26653297] doi:10.1016/j.mayocp.2015.08.023 CrossrefMedlineGoogle Scholar2. Wenger N, Méan M, Castioni J, Marques-Vidal P, Waeber G, Garnier A. Allocation of internal medicine resident time in a Swiss hospital: a time and motion study of day and evening shifts. Ann Intern Med. 2017. [PMID: 28135724] doi:10.7326/M16-2238 LinkGoogle Scholar3. Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014;12:573-6. [PMID: 25384822] doi:10.1370/afm.1713 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From American Medical Association, Chicago, Illinois, and Sharp End Advisory, Hanover, New Hampshire.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0961. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAllocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties Christine Sinsky , Lacey Colligan , Ling Li , Mirela Prgomet , Sam Reynolds , Lindsey Goeders , Johanna Westbrook , Michael Tutty , and George Blike Allocation of Physician Time in Ambulatory Practice Join Y. Luh Allocation of Physician Time in Ambulatory Practice Steven Bishop , Jeffrey Kushinka , and Shin-Ping Tu Allocation of Physician Time in Ambulatory Practice David P. Serota Metrics Cited byTime spent on documenting quality indicator data and associations between the perceived burden of documenting these data and joy in work among professionals in intensive care units in the Netherlands: a multicentre cross-sectional survey"Mm-hm," "Uh-uh": are non-lexical conversational sounds deal breakers for the ambient clinical documentation technology?Identification and Predictive Value of Risk Factors for Mortality Due to Listeria monocytogenes Infection: Use of Machine Learning with a Nationwide Administrative Data SetDrivers and sequelae of burnout in U.S. dermatology traineesElectronic health record note review in an outpatient specialty clinic: who is looking?A Survey of Burnout Among Members of the American Society for Surgery of the HandEmpathics systemRecertifying for the National Institutes of Health Stroke Scale…Isn't It Like Riding a Bike?Burnout Among Physicians, Advanced Practice Clinicians and Staff in Smaller Primary Care PracticesStem Cell Transplantation and Informatics: Current ConsiderationsPatient-Centered Decision Support: Formative Usability Evaluation of Integrated Clinical Decision Support With a Patient Decision Aid for Minor Head Injury in the Emergency Department 2 May 2017Volume 166, Issue 9Page: 683-684KeywordsComputersData managementDisclosureHealth carePatientsTaxesTheft ePublished: 2 May 2017 Issue Published: 2 May 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...