Tag Archives: Physician Work Life Balance

New Beginnings #WestWardFro

It has been a while since my last post, so what exactly have I been up to.

I have practiced as a physician, worked primarily as a implementation specialist on a government contract. In my job search I have completed over 100 different applications, caught recruiters trolling my resume for leads, using me to get contracts but never officially hiring me…I discovered that the job description I wrote for my old job was copied verbatim and posted to the new hire profile on LinkedIn necessitating me blocking this person and half dozen others, removing my resume,  and rejecting and blocking most cold contact recruiters. Someone actually attempted to make my going back into practice full time as some type of setback, and if my experience was somehow equivalent to theirs, when in fact we were light years a part. I have witnessed the election of the dumbest individual to the US presidency and the last installation of the Star Wars franchise being disappointing, but through it all I have not caught a case.

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In the past 9 months I have truly established myself as a Dallas Cowboy Superfan with the clothes, accessories and tricked out Cowboy Ops Truck…File May 09, 3 24 03 AM.jpegBeastLa in Redwood Forrest

 

I bought said truck in Dallas TX at Autoflex, Terry Hill and his crew are the bomb!! Went back on line bought a used travel trailer for scrap plus taxes, hitched it to BeastLa and pulled it to Oregon to start as the new Pediatric Nocturnist at Bay Area Hospital. Yes, I pulled it and drove all 3000 miles white knuckling it through Donner’s Pass(yes of the cannibalism story) April Snowstorms?? Chain Advisory??I am from the South we buy tires because they are big and cool not for this weather…File May 09, 3 25 57 AM.jpeg Me, the black chick with a ‘Fro drove through tip warnings and flood warnings all across the Midwest.

My best friend told me I am like a family of 10 Jamaicians because I always have 3 jobs, and it’s true, not to long after I started with Bay Area, I received and accepted a CMIO position.File May 09, 3 18 15 AM

Deja Vu as we approached Seattle Washing May 2017

My team went to Hollywood for dinner and did the touristy thing. By visiting Graumann’s Chinese theater

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The ‘Fro in front of  Graumann’s May 2017

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Star Trek Original Series Cast Member Cement Plaque, Graumann’s May 2017

 

I really love Ramen and will eat it any chance I get

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Best Ramen, Pasadena May 2017

I realize multiple things about myself, management of information will always be part of my life and I can make a career of being a practicing provider and Lead for EMRs. It will be my lifeblood. But I also think as technology evolves, providers that are current and can truly leverage experiences across the continuum of medicine and technology will be needed. In this economic climate no one, vendors or health systems, can nor should they justify large staffs that make no tangible contribution to the IS departments or efficient and meaningful usage of technology.

I think I have more adventures awaiting me as I settle into my new found home state, and I can’t wait!

 

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Physician Mobility?

Distracted practice

In my day to day, I am Queen Multitasker. I look like the guy in the photo trying to balance phone calls, note taking, and all the multimedia gadgets required of someone in my administrative position. Unfortunately, I know a fair number of colleagues look like this guy instead of the fitted one button coat, they are in their lab jackets in a hospital or office near you.

So what should happen to reduce the juggling of the gadgets? Can we balance accessibility and still practice efficiently? Can we foster 2-way patient interactions and still respect provider downtime? Yes, Yes, and Yes.

I believe it’s a combination of having multiple platforms integrated and optimized for the use of a busy and efficient provider. So what’s out there? We are an iOS world for now(Apple Rules, Android Users just get over it) If most consumers are like me, Steve Jobs’ company has gotten lots of my money over the years. There is the Apple watch, an Apple phone, as well as a tablet either surface or iPad Pro(The gold Ipad Pro is pretty but the verdict is still out on its usage in-house) but do any of these devices make the physician more efficient? Which front end dictation tool should be utilized and optimized? Nuance ™  apps it particularly Dragon Anywhere™ which I’ve been experimenting with more in the previous several weeks is particularly useful input tool.  I found in comparison to previous forms of Dragon™, Siri on my iPhone actually worked better than the previous iterations of the front end dictation tool really previously released by the company Nuance™. But there has been a marked improvement with the release of the Dragon Anywhere tool™. For a nominal subscription fee you have a hardware light version of Dragon™ on your phone. It has a more robust command structure as well as powerful editing tools in which you can enjoy the accuracy in the hardware heavy version of this tool.  I find that my ability to transfer and copy text into a Word document and then easily save it to my cloud Dropbox is almost seamless and then I can actually update the text and repeat that within less than 30 seconds. It has made my ability to post my blog a lot easier. I  still have to go back to my laptop/tablet to make the final corrections and formatting just because I find it easier but it actually has been a godsend as far as my ability to be able to create this post. (FYI, I’m using Dragon Anywhere™ to create this post.) I would suggest that you number 1, have the latest updates on your phone, have a subscription to office 360, and you can ensure that the embedded mic within your phone actually works well. The microphone on the iPhone has excellent noise canceling capabilities however what I have found is my Bluetooth, the accuracy has been affected by the LG 750 even up to LG 760 with a Bluetooth device.  You may actually have a better chance with a wired Beats™ as well as the white earbuds that actually come with your iPhone. I would also ensure that your screen saver or power saver mode is set to a minimum of 15 minutes or so before the  screen locks.

I am a iOS geek through and through.  However, the Surface 3 with Windows 10 and Citrix 14.3 from a healthcare information systems perspective actually affords the end-user the best experience and will truly increase their efficiency. And is also necessary to have a tool either like Dragon 360™ medical or Dragon Direct™. When Windows 10 was released someone told me you will experience a loss of functionality, but could not tell me exactly why. If the device is correctly imaged, with properly formatted applications, and Office 2016, it will only enhance your experience not detract from it. I just wish people that don’t have the full story and can’t give you clear directions on how to change something,  they need to take Madea’s advice and go and sit down somewhere and be quiet. We providers are under pressure from a regulatory standpoint to document thoroughly to tell the full story and to allow proper charges to be created and submitted in a timely manner. And from a business stand point, we are tasked to see as many patients as possible but still provide quality healthcare.  We should have the properly configured tools to allow us to maximize our time interacting with our patients and fellow staff members,  not inputting data into the EMR. Futuristic Complex