The RBV Blog

The people, products, and ideas shaping healthcare today – by Dr. Richard Vanderveer, Chief Innovation Officer, ThinkGen

Why Do Doctors Hate Their Computers?

November 15, 2018

Check this out. What you will see is not the quick blog post that I usually send you to for a quick burst of profundity. Nope. This is a rather extensive and well written New Yorker article that sets out to answer this important question. Read it! Although the article goes on for pages, its message is summarized in one great quote:

“…three years later I’ve come to feel that a system that promised to increase my mastery over my work has, instead, increased my work’s mastery over me.”

Several important points are made here. First, physicians thoroughly understand that digitization is necessary to support medical care in 2018 and beyond. AND. They are clearly among the most tech savvy of all professions. So, what’s the problem?

As you read over these pages, the answer here becomes painfully clear. Doctors believe, and apparently rightfully so, that these systems are designed without taking into consideration the contextin which the physician works. What used to be done in just a few keystrokes now requires many. Interfaces are built based on “political” concerns, rather than “technical.” The costs involved in setting up a computer system like the one described here are huge. In the $Billions. AND. The quantity and quality of the medical care being delivered actually decrease substantially while the practitioners wrestle with the new software.

Bottom Line. Funny. Sort of. We live in a world that increasingly wants to compensate physicians based on “quality of care” and “outcomes,” yet we foist computer systems like this on them.

 Not fair!

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Richard Vanderveer, Ph.D.

In addition to his blog, Dr. Vanderveer has written numerous articles on innovation in healthcare marketing and marketing research - not only to challenge new thinking, but also to provide specific and practical advice.

Why Do Doctors Hate Their Computers?

November 15, 2018

Check this out. What you will see is not the quick blog post that I usually send you to for a quick burst of profundity.

Human Inconvenience

November 14, 2018

Check this out. What you will see is a brief and insightful post about how little tolerance people have for inconvenience. When it comes to

How To Avoid Being A “Robot Doctor”

November 13, 2018

Check this out. What you will see is the story of a first-year medical student who desperately wants to avoid becoming a “robot doctor.” She

Ah, Maria Yang

November 8, 2018

We have forwarded you to her posts before. Here we go again. Maria has an uncanny ability to share with us the nuts and bolts

Sex, Gender, Discrimination And A “Public Health Crisis”

November 7, 2018

Check this out. I have read this piece several times, and must admit that with each reading, I become increasingly confused. I know I have

Burnout And Finances

November 6, 2018

Check this out.  What you will see is an interesting post from a blogging physician whose page carries a message of “Wealth and Wellness.” He

Back To The Future

November 1, 2018

I present for your consideration a very interesting, make that sort of shocking, blog post. Here, you will see a physician very understandably and vociferously

The Risks That Come With Assembly Line Medicine

October 31, 2018

Check this out. Very reasonably, this blog questions whether medical practices should operate at the same speed as delicatessens do, grinding out patients/sandwiches as quickly

THE FIVE THINGS DOCTORS FEAR THE MOST

October 30, 2018

Check this out. What you will see is an insightful discussion of the five most prominent fears that bedevil doctors. They include: Peniaphobia: The fear

THE "COMMON SENSE FAMILY DOCTOR” COMMENTS ON EVIDENCE BASED MEDICINE

October 25, 2018

Check this out. What you will see are some interesting observations on EBM by a family physician who is also a professor who teaches public

SEVEN OUT OF TEN DOCTORS . . .

October 24, 2018

. . . wouldn’t recommend that their kids become doctors! Check this out. What you will learn is that in a national survey of over

The Disruptive Physician

October 23, 2018

Check this out. You will suddenly find yourself immersed in a site dedicated to making sure that doctors in training don’t have to put up

Helping Doctors To Balance Their Lives

October 18, 2018

Check this out. What you will see is a site, hosted by a female physician, dedicated to helping other lady doc’s to strike a suitable

Is It Doctor, Or Is It “Julia?” What’s In A Name???

October 17, 2018

Check this out. What you will see is an article that at first glance seems to be sort of vapid. Female physicians tend to be

A Cardiologist Comments On The New Apple Watch

October 16, 2018

And he comments with some skepticism. Of course, he is the “Skeptical Cardiologist.” Check this out. What you will see is a physician wrestling with

The Pharmacist Is A Whore

October 11, 2018

When I got into this business a gazillion years ago, we used to do studies with pharmacists rather regularly. BUT. I haven’t really even thought

Doctors Do Podcasts

October 10, 2018

I don’t want you to spend a lot of time on this. Just give “DOCS OUTSIDE THE BOX" a quick scan and listen. Why?  Here is a

THIS COUNTRY DOCTOR IS A WISE DOCTOR INDEED!!!

October 9, 2018

He may be a country doctor, but he makes a lot of very good points in his posts. And this an especially good one. In

“Starting to See Some Light”

October 4, 2018

Check this out. What you will see is one doctor’s take on “First Do Not Harm,” the new movie that I have referred you to

Enhancing Physician “Visibility”

October 3, 2018

Check this out. What you will see is a 5-step guide to help physicians to increase their “visibility.” To help them to better “brand” themselves.

Attaching a Face to Physician Suicide

October 2, 2018

I’ve written time and again about physician suicide, and the widespread burnout for which it is the ultimate last step. To my amazement, many of

Sex, Cars, Money, And Dementia

September 27, 2018

Check this out. What you will see is a very thought-provoking article by a physician whose professional work centers on the field of bioethics. Seems

Behavioral Economics And The Practice Of Medicine

September 26, 2018

Check this out. What you will see is a family physician’s very practical recounting of how to avoid two biases, originally uncovered by Behavioral Economists,

Disappearing Medical History

September 25, 2018

Check this out. What you will find is a strange story of what has recently happened at Brigham and Women’s hospital in Boston. Seems that

Has Medicine Moved From Being Patient-Centered To Being Profit-Centered?

September 20, 2018

At least one blogging physicians thinks that it has. Check this out. This post sort of goes on forever, but its message is actually a

Behavioral Economics Goes To Medical School

September 19, 2018

Check this out. Sorry folks, it’s not an article or a blogging physician’s post for you to look at this time. Nope. It is a

Prediction: “Habit” Will Replace “Decision” As The Focus Of Healthcare Marketing In 2019!!!

September 18, 2018

Huh??? Check this out. What you will find is a book that you should download to your Kindle and read. Right away! Why? Because! I’ve

Why “Bother” To Offer That Patient A Clinical Trial???

September 13, 2018

Several years ago, I made a presentation at what at the time was still PMRG (now Intellus) with a gentleman named Ross Weaver. (clinicalscore.com) Ross’s

Emergency Medicine: A Sizzling Hot Specialty That Can Fry You To A Crisp!!!

September 12, 2018

Interesting piece. It seems that it is now commonly known, and even common sense, that ER Docs are burning out like crazy. We’ve talked about

It’s Not Just Doctors And It’s Not Just Burnout!!!

September 11, 2018

Check this out. What you will see is a piece that starts off by reporting a death by suicide. Not of a doctor. Of a

Individual States and The Federal Government vs. Pharmaceutical Company Pricing???

September 6, 2018

Check this out. What you will see is that many individual States are writing laws aimed at controlling drug prices. Medicaid programs, which are funded

A Real Game Changer!!!

September 5, 2018

Check this out. (Skip the advertisement!) What you will see is a real game changer. The announcement that NYU will no longer charge tuition for

These Three Factors May Explain Physician Burnout

September 4, 2018

Check this out.  What you will see is a thorough, if unsurprising, explanation of the apparent causes of physician burnout. As I read this article,

Locum DOC

August 30, 2018

Check this out.You will read the story of a fork in the roads. A doctor who decides to quit a full time “job” and begin

Our Buddy The “Country Doctor” Reads The Harvard Business Review???

August 29, 2018

Yes, he does! Check this out. What you will learn is that this MD in rural Maine has figured out something rather important. You see,

Physician Startup CEO’s

August 28, 2018

How do these words fit together, and why is their confluence so important? Check this out. What you will see is an article written by

What the CEO Knows!!!

August 24, 2018

Note: The first half of this blog was delivered on Tuesday, August 14. While half a blog is not necessarily better than none . . .

Medical School Side Hustles

August 21, 2018

  Note: The first half of this blog was delivered on Tuesday, August 14. While half a blog is not necessarily better than none . .

What the CEO Knows!!!

August 16, 2018

Check this out. What you will see is an invitation to attend a seminar conducted by a former hospital CEO. What will you learn? Everything

Reading Patient Body Language

August 15, 2018

Check this out. What you will read/see in a video is a Manhattan physician telling his colleagues about how to read body language in their

Medical School Side Hustles

August 14, 2018

Check this out. What you will see is a list of side hustles that a financially sophisticated doctor proffers as being workable for medical students.

Three Financial Enemies of Physicians

August 9, 2018

Check this out. What you will see is a post by the “White Coat Investor,” pictured above. Jim Dahle is an ER doc who got

Global Interaction

August 8, 2018

Those two words, the head of G-MED believes, will encourage their world-wide network of physicians to make active use of this new social medium “for physicians

Tapping Into Online Medical Advice

August 7, 2018

I haven’t looked at WIRED in years. While the Internet was coming into our world, and I needed to get an advanced look at how it

Burnout Causes Medical Errors

August 2, 2018

That, my friends, is one of the most obvious headlines I have ever written. Yes, you would think it would be intuitively obvious that a

Why Are Nurses Invisible In The Media???

August 1, 2018

Why indeed!!!  Check this out. Two studies, run 20 years apart, clearly demonstrate that nurses are drastically underrepresented in health care articles in the popular

This Could Get Confusing!!!

July 31, 2018

Check this out. What you will see is a piece announcing that Albertsons chain pharmacy will be piloting a new program, consistent with a new

Kate Spade, Anthony Bourdain And Physician Suicide

July 26, 2018

I have to be honest. Anthony Bourdain’s suicide really got to me. I loved his show. I would often binge, watching episode after episode. Why?

Why More Physicians Should Enter Industry

July 25, 2018

Actually, there should probably be a “???” inserted after that title. Why? Here’s the deal. We have often discussed the “doctor shortage” in clinical practice.

No Data vs “Bad” Data

July 24, 2018

Here’s a multi-layered discussion of the problem with “data” about doctors’ performance. In this case, complications resulting from surgery. The first issue discussed is one

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