Medical Economics March 11, 2020
Jeff Goldsmith, Chuck Peck, M.D.

Though many analysts, including one of us, have pointed the finger at the electronic health record as a major cause of physician burnout, the root cause may lie deeper. In the disappearance of collegiality, the fragmentation of physician communities, and a feeling of disempowerment by physicians in the future of the health systems they work with.

Connectedness and social capital in physician communities has withered as an increasing percentage of physicians no longer use the hospital to practice medicine and nothing has taken its place. Physicians everywhere feel that things are being done to them, rather than the other way around.

Medical care is hard work, made harder for procedural specialists by repetition and for primary care physicians...

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