I just survived a mandatory 60-minute "Physician Wellness and Resiliency" webinar hosted by an administrator who, as far as I can tell, hasn't seen a patient since the Clinton administration.

The irony of being told to "practice mindfulness" and "prioritize sleep" while the hospital is concurrently rolling out a new policy to administratively suspend anyone with H&Ps older than 24 hours (regardless of census or boarding issues) is… well, it’s a lot.

I’m currently sitting in the lounge at 7:00 PM, staring at a stack of consults and a "pajama time" charting debt that looks like a mortgage.

I’d love to be resilient, but I think I’d settle for an EMR that doesn’t require 14 clicks to order a basic electrolyte replacement and a management team that understands that documentation speed \neq quality of care.

Is anyone actually working in a system where the "efficiency metrics" aren't actively sabotaging the clinical work, or have we all just accepted our fate as highly-trained data entry clerks?

Anyway, I’m…