If you can’t train the physicians on how to use electronic records but want a paperless operation, I guess you do what this hospital did, hired a 
human to follow the doctor around and enter their information for them. The physicians have to check the information added by the “scribes” before it goes into the chart to verify for accuracy and the information they want entered. I would like a job like that one as there would be some training just by osmosis to rub off.
Dr. Crounse from Microsoft touched on the same topic today relative to the same subject. We need training all over the place. If you have never been on the front line training, well let me enlighten you a bit here, it’s not a piece of cake and everyone has their own learning curve, those are not equal. Some physicians are just unhappy from the start having to learn an electronic system and some of that goes away with time. We have the patient empowerment move in effect but have a lot of doctors that are electronically not prepared to partner with us yet.
On the same subject there are quite a few very well connected doctors too, that have patients who need to be educated in the basics as well, so the door somewhat swings both ways, but the doctors are the key element as they are the ones taking care of our health and have other pressures today as far as being cost conscious with their treatment decisions and soon will be working with some business intelligence related software as this is being implemented at most wired hospitals.
The articles doesn’t say how long the ‘Scribe’ stays with the doctor through the transition process but I would think this is not permanent by any means and hopefully it’s a move to make the process easier for the doctor and the hospital. BD
CHARLOTTESVILLE, Va. — Derek Leiner's workplace is densely packed with the latest technology.
At the University of Virginia Medical Center's emergency room, doctors have access to electrocardiogram machines and bedside ultrasounds and are just steps away from a CT scanner and MRI machine.
When I tell my friends I'm a scribe, they ask me if I use a quill," says Leiner, 22, a University of Virginia graduate who plans to apply to medical school.
Instead of pens, scribes here use laptops as they trail doctors from bed to bed, taking detailed notes that will form part of each patient's electronic medical record. Experts say the scribes' peculiar role — with one foot in 2009 and one in 2000 B.C. — illustrates hospitals' often bumpy transition from clipboards and closets of paper charts to digital records.
O'Connor says scribes like Leiner have been "invaluable" since the ER's transition to a "nearly 100% paperless" department last October, O'Connor says. Other hospital departments are still working toward an electronic record, he says.
High-tech 'scribes' help transfer medical records into electronic form - USATODAY.com
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