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Viewpoint |

The Rise of the Medical Scribe Industry Implications for the Advancement of Electronic Health Records

George A. Gellert, MD, MPH, MPA1; Ricardo Ramirez, LVN1; S. Luke Webster, MD2
[+] Author Affiliations
1Department of Health Informatics, CHRISTUS Health, San Antonio, Texas
2Department of Health Informatics, CHRISTUS Health, Dallas, Texas
JAMA. 2015;313(13):1315-1316. doi:10.1001/jama.2014.17128.
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This Viewpoint argues that the increasing use of medical scribers to record patient data will impede the development of electronic health record management systems.

With federal meaningful-use incentives driving adoption of electronic health records (EHRs), physicians are increasingly concerned about the time spent documenting patient information and managing orders via computerized patient order entry (CPOE). Many perceive that the inefficiencies of EHRs are adversely affecting the quality of care, and because physicians see fewer patients per day, income may decline.1 Although physicians approve of EHRs in concept and appreciate their future promise, the current state of EHR technology has increased physician dissatisfaction.1 Poor EHR usability, time-consuming data entry, reduced patient care time, inability to exchange health information, and templated notes are central concerns. Physicians emphasize that EHR technology—especially user interfaces—must improve,1 and a new industry has emerged nationally to provide physicians with medical scribes.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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