My podcasting debut! Ever wonder why it’s #AsociadoMedico and not médico asistente? Or scope of practice for PAs in #PuertoRico ? What questions do you have? 🇵🇷 #boricua#salud https://t.co/9tcuxHigHY
Today’s ticking time problem in Puerto Rico:
An aging population relying on an even faster-aging, shrinking physician workforce.
To those patients waiting months for an appointment, what are your priorities?
-Fast relief of symptoms?
-Avoiding the ER?
-Reducing anxiety?
For when I feel I don’t fit in, “If you're going to be wildly successful, you have to be wildly unusual.
Your life won't resemble the lives of the people around you. You can learn a lot from Outliers, but you can't copy them.
The style of your success has to fit who you are.”
La Legislatura actuó dos veces. Dos veces se vetó el P. de la C. 1032.
AAMPR solicita a @Jenniffer una explicación escrita y una reunión con su equipo de política pública.
Puerto Rico merece respuestas y un camino viable. @JohnnyMndez36@AAPAorg@AsocMedicoPR@Asociado_medico
La Legislatura actuó dos veces. Dos veces se vetó la medida.
AAMPR solicita una explicación escrita de las objeciones al P. de la C. 1032 y una reunión con el equipo de política pública de la Gobernadora.
Puerto Rico merece respuestas y un camino viable hacia adelante. #SaludPR
Prometieron en campaña aumentar recursos salubristas ante la escasez de médicos, su propia legislatura aprueba proyecto para licenciar asistentes de médicos, y porque el mediquíto 🐁que dirige Salud entiende que eso es competencia, Su Alteza Real 👸veta el proyecto🚯ESO SI ES TRAICIONAR LA ESTADIDAD‼️
I’ll be attending Exxat Cohere Conference in Baltimore Inner Harbor. Let me know if you’re planning to attend so that we can say Hi! 👋
Or register now and join me at the event! https://t.co/TYYHlqWHaL
via #Whova event app
Establishing Global Dialogue: Initiating the International... : The Journal of Physician Assistant Education https://t.co/y8SSJTcARK #physicianassociate
When a patient is in the hospital, doctors used to use paper notes to communicate with one another.
In the EHR era, the note stopped being a clinical communication tool and became a billing and compliance artifact. The results have been a disaster.
One JAMA study found notes got 60.1% longer from 2009 to 2018, while redundancy rose 22%. ONC has explicitly acknowledged that clinicians use templates to stuff notes with unnecessary information into the chart to meet billing requirements, creating note bloat.
The clinical note was no longer a method of communication. It was a billing document.
So hospitals layered secure chat on top just to communicate the actual plan of care. And even that workaround is not working.
A 2024 JAMA study found more secure messaging was associated with more time on the phone, not less. Doctors needed to call to clarify the now constant message stream.
Another study found higher messaging volume was associated with higher odds of errors. More messages means a higher cognitive load with most of the information being low-importance. This increased cognitive load leads to more errors.
We took what should have been efficiency improving technology, a computerized chart, and so over-regulated it and misaligned incentives that it has led to harmful downstream effects.
Now, please don't do this with AI...
“Medicine isn’t just science.
It’s exposure.
To suffering.
To decay.
To things most people will never see—and would never choose to.
They say medicine is a “calling.”
I saw what I was being called into.
Not just knowledge.
Not just skill.
But the willingness to witness.”