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273INTRODUCTION Electronic Medical records are the modern documentation system where the patient's information both clinical and non clinical data is stored in a single record or file system where the information can be retrieved viewed managed stored with years of previous medical records and history at any point of time under the physician patient and authorized personnel control EMRs also ease the communication between the physician staff members and the patients by allowing transparent handling of billing check in referrals discharges allowing the patient to schedule or cancel appointments directly according to their schedules which provides an overall care coordination between the patient and the physician CHALLENGES Having discussed a few of the advantages of EMRs in the above introduction there are also some challenges which are faced during the EMRs implementation one of them is often getting doctors on board with the new system As in this present case scenario where the pediatrician is refusing to implement the new EMR system stating that it is decreasing her productivity and interfering with her interaction with the patients Well honestly I totally agree with her on her fears concerns and glad that she expressed her issues directly which is easy to solve them when you know what the problem is PRODUCTIVITY DROP
The pediatrician has hinted that if she is forced to use the EMR she will take her practice and her patients and set up next door In this scenario especially as she is a pediatrician by herself we should make her realise that it is actually beneficial to her practice only if she uses an EMR based health record system Because as a pediatrician it is a hectic job to keep a track record of all the history of patient right from childhood sometimes she loses it or sometimes the patients because of travel or some other reasons But with the EMRs it is actually beneficial to document the medical history of the patient right from childhood right from their birth natal prenatal and postnatal history their immunisation status blood compatibilities birth injuries allergies medications etc all the records will be documented in a single record instead of asking the patient or their parents to run over the records again and again and the patients also feel comfortable that the physician has a track of all their medical history so they feel confident and satisfied So in a way it does not reduce the productivity but increase the productivity as well as build up more rapport with the patients But as a health informaticist we should be able to guide the pediatrician to be able to see all the possible sides of EMRs instead of just pointing out at the problem