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Volume 359:2305-2309 November 27, 2008 Number 22 Next

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Since joining a large multispecialty medical group in Dubuque, Iowa, 21 years ago, general internist Christine Sinsky has been tweaking her practice's systems and testing strategies for improving efficiency. Her goal is to have enough time left during appointments to do what she enjoys most: get to know her patients. In the mid-1990s, as clinical practice guidelines multiplied and insurance coding requirements became more complex, Sinsky grew desperate. "I felt like I was becoming a guideline-following automaton and a documentation drone," she recalled. "It was draining to me, and I didn't feel it was what patients wanted, either."

Sinsky has . . . [Full Text of this Article]

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Dr. Okie is a national correspondent for the Journal.

This article has been cited by other articles:

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