I am leaving my position as a primary care doctor in Maine. My reason is the EMR’s workflows. My nurse can’t sort incoming information for me. I’m the first one to see unsorted reports and as one of the busiest providers in my organization, I really miss the supportive work of prioritizing incoming information that my nurse used to be allowed to provide for me.
Modern Electronic Medical Records send everything to the provider, unsorted, unprioritized, and we then need to spoon-feed this back to our support staff. I think it’s inefficient, unsafe and unethical to bottleneck everything through the provider. I believe this is mostly done for malpractice/liability types of reasons, but I can’t work without a team. In normal businesses support staff is always filtering information to the boss. The boss doesn’t open the mail. That’s how it works in today’s primary care and it’s inefficient and it’s wrong.
And just so you know, here is my LinkedIn listing of available primary care doctor jobs within easy commuting distance from my house. Primary care as we know it is falling apart.
In the coming weeks, I will start posting regularly on my Substack about my new house call practice under the heading “progress notes”.
See you there!
A Country Doctor Writes: 
We have a steady stream of Maine primary care docs leaving employed practice and opening Direct Primary Care practices (the affordable offspring of concierge practice). A few brave ones have even started DPC practices right out of residency.
Not a perfect solution but already better for patients and physicians than the current mess and sustainable in the long term.
http://www.nedpca.org
Good luck with your new house call practice!
Brian Pierce MD
Union, Maine
“My reason is the EMR’s workflows”
Did your ex-employer acknowledge that the EMR is so bad that it ran off a great doc?