enough that there must be active efforts to address the syndrome. © 2015 American Academy of Neurology 1. 2. 3.
4.
5.
Sigsbee B, Bernat JL. Physician burnout: a neurologic crisis. Neurology 2014;83:2302–2306. Weber A, Jaekel-Reinhard A. Burnout syndrome: a disease of modern societies? Occup Med 2000;50:512–517. Schaufeli WB, Enzmann D. The Burnout Companion to Study and Practice: A Critical Analysis. London: Taylor & Francis; 1998. Maslach C, Jackson S, Leiter MP. Maslach Burnout Inventory Manual, 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996. Bianchi R, Schonfeld IS, Laurent E. Is burnout a depressive disorder? A re-examination with special focus on atypical depression. Int J Stress Manag 2014;21:307–324.
CHALLENGES TO ETHICS AND PROFESSIONALISM FACING THE CONTEMPORARY NEUROLOGIST
Ronald P. Lesser, Baltimore: I appreciate Dr. Bernat’s1 thoughtful comments regarding current medical practice and agree with most of them. There may be overuse of cut and paste in electronic records, but this is not unique, it is just easier. When notes were written by hand, histories also con-
tained information from previous histories, which might or might not have been accurate. Daily progress notes may contain 20% copied information but it is likely that 20% of a patient’s condition has not changed from the previous day. Copying can ease the burden for physicians already desperate to get their work done, despite inefficient electronic records. Checklists ensure that all questions were asked and answered, including history. From my perspective, it would be better for the lists to be retained vs being transformed into stilted sentences. The original lists are easier for the next person to read and their sources are clear. Author Response: James L. Bernat, Lebanon, NH: I have no necessary objection to any of the electronically facilitated actions offered by electronic health records as long as the finished product is edited for accuracy. The problem is that time-stressed physicians may become careless and not edit cloned notes or templates adequately, thereby producing inaccurate records that ultimately harm patients. © 2015 American Academy of Neurology 1.
Bernat JL. Challenges to ethics and professionalism facing the contemporary neurologist. Neurology 2014;83:1285–1993.
WriteClick® rapid online correspondence The editors encourage comments about recent articles through WriteClick: Go to Neurology.org and click on the “WriteClick” tab at the top of the page. Responses will be posted within 72 hours of submission. Before using WriteClick, remember the following:
• WriteClick is restricted to comments about studies published in Neurology within the last eight weeks • Read previously posted comments; redundant comments will not be posted • Your submission must be 200 words or less and have a maximum of five references; reference one must be the article on which you are commenting • You can include a maximum of five authors (including yourself)
Author disclosures are available upon request ([email protected]). Neurology 84
May 19, 2015
2099
ª 2015 American Academy of Neurology. Unauthorized reproduction of this article is prohibited.
Challenges to ethics and professionalism facing the contemporary neurologist Ronald P. Lesser and James L. Bernat Neurology 2015;84;2099 DOI 10.1212/01.wnl.0000466207.04296.a5 This information is current as of May 18, 2015 Updated Information & Services
including high resolution figures, can be found at: http://www.neurology.org/content/84/20/2099.full.html
References
This article cites 1 articles, 1 of which you can access for free at: http://www.neurology.org/content/84/20/2099.full.html##ref-list-1
Permissions & Licensing
Information about reproducing this article in parts (figures,tables) or in its entirety can be found online at: http://www.neurology.org/misc/about.xhtml#permissions
Reprints
Information about ordering reprints can be found online: http://www.neurology.org/misc/addir.xhtml#reprintsus
Neurology ® is the official journal of the American Academy of Neurology. Published continuously since 1951, it is now a weekly with 48 issues per year. Copyright © 2015 American Academy of Neurology. All rights reserved. Print ISSN: 0028-3878. Online ISSN: 1526-632X.
4.
5.
Sigsbee B, Bernat JL. Physician burnout: a neurologic crisis. Neurology 2014;83:2302–2306. Weber A, Jaekel-Reinhard A. Burnout syndrome: a disease of modern societies? Occup Med 2000;50:512–517. Schaufeli WB, Enzmann D. The Burnout Companion to Study and Practice: A Critical Analysis. London: Taylor & Francis; 1998. Maslach C, Jackson S, Leiter MP. Maslach Burnout Inventory Manual, 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996. Bianchi R, Schonfeld IS, Laurent E. Is burnout a depressive disorder? A re-examination with special focus on atypical depression. Int J Stress Manag 2014;21:307–324.
CHALLENGES TO ETHICS AND PROFESSIONALISM FACING THE CONTEMPORARY NEUROLOGIST
Ronald P. Lesser, Baltimore: I appreciate Dr. Bernat’s1 thoughtful comments regarding current medical practice and agree with most of them. There may be overuse of cut and paste in electronic records, but this is not unique, it is just easier. When notes were written by hand, histories also con-
tained information from previous histories, which might or might not have been accurate. Daily progress notes may contain 20% copied information but it is likely that 20% of a patient’s condition has not changed from the previous day. Copying can ease the burden for physicians already desperate to get their work done, despite inefficient electronic records. Checklists ensure that all questions were asked and answered, including history. From my perspective, it would be better for the lists to be retained vs being transformed into stilted sentences. The original lists are easier for the next person to read and their sources are clear. Author Response: James L. Bernat, Lebanon, NH: I have no necessary objection to any of the electronically facilitated actions offered by electronic health records as long as the finished product is edited for accuracy. The problem is that time-stressed physicians may become careless and not edit cloned notes or templates adequately, thereby producing inaccurate records that ultimately harm patients. © 2015 American Academy of Neurology 1.
Bernat JL. Challenges to ethics and professionalism facing the contemporary neurologist. Neurology 2014;83:1285–1993.
WriteClick® rapid online correspondence The editors encourage comments about recent articles through WriteClick: Go to Neurology.org and click on the “WriteClick” tab at the top of the page. Responses will be posted within 72 hours of submission. Before using WriteClick, remember the following:
• WriteClick is restricted to comments about studies published in Neurology within the last eight weeks • Read previously posted comments; redundant comments will not be posted • Your submission must be 200 words or less and have a maximum of five references; reference one must be the article on which you are commenting • You can include a maximum of five authors (including yourself)
Author disclosures are available upon request ([email protected]). Neurology 84
May 19, 2015
2099
ª 2015 American Academy of Neurology. Unauthorized reproduction of this article is prohibited.
Challenges to ethics and professionalism facing the contemporary neurologist Ronald P. Lesser and James L. Bernat Neurology 2015;84;2099 DOI 10.1212/01.wnl.0000466207.04296.a5 This information is current as of May 18, 2015 Updated Information & Services
including high resolution figures, can be found at: http://www.neurology.org/content/84/20/2099.full.html
References
This article cites 1 articles, 1 of which you can access for free at: http://www.neurology.org/content/84/20/2099.full.html##ref-list-1
Permissions & Licensing
Information about reproducing this article in parts (figures,tables) or in its entirety can be found online at: http://www.neurology.org/misc/about.xhtml#permissions
Reprints
Information about ordering reprints can be found online: http://www.neurology.org/misc/addir.xhtml#reprintsus
Neurology ® is the official journal of the American Academy of Neurology. Published continuously since 1951, it is now a weekly with 48 issues per year. Copyright © 2015 American Academy of Neurology. All rights reserved. Print ISSN: 0028-3878. Online ISSN: 1526-632X.
