Thoughts on Gawande’s “The Upgrade”

In the end, we are dependent upon the creatures we have made. Goethe The Upgrade (Full New Yorker Text) Why Doctor’s Hate Computers by Atul Gawande The New Yorker, November 12, 2018 Gawande’s thesis is that the electronic medical record (EMR) has contributed greatly to the epidemic of physician burnout in the United States. A 2016 study found that physicians spend about two hours doing computer work for every hour spent face to face with a patient. The result has been epidemic levels of burnout among clinicians. Something has gone terribly wrong. The software created for the EMR has spawned this massive monster of incomprehensibility. So much of what physicians … Continue reading

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