That’s old school. I like your style. EMR has been the death of the H&P and progress note. There is 5x the information and half the usefulness. We document everything that doesn’t matter and then we bill for it. It’s bulls#!t.

That sounds like it was written by my exact opposite evil twin. You are correct that our profession or any organization does not care. They can’t care, only individuals can care. Do work that makes you happy and do it well. Say no to everything else.

Yes, leaving work at work can be a game changer for many jobs. We need time to recharge.

Yep. Opt out of the games and become free. Work is better when you don’t need the money.

Agreed. If it were easy I wouldn’t be writing about it 😉

The key is to reduce our need for money. When we are efficient and relatively frugal we become free. When we are free we can practice any way we want (within reason). It’s easier to open that niche practice when you only use 1/3 your paycheck.

I’m all for efficiency, just not to the extent that it makes us unhappy. We have to know when and how to resist.

Consultants are a tool and can be useful. They can see things from a perspective that is hard to achieve inside an organization, but unfortunately they are usually hired with productivity in mind. Very few groups hire a consultant to analyze happiness and maximize for that.

Comparing ourselves to others is how we gauge how we are doing in life, but the more we can detach from it the less we will be influenced.

Just make sure you get those TPS reports finished by Monday.