EHR Programmer Shadows Physician

Posted on August 16, 2013 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I was recently browsing through blogs and came across this post on the Elation EMR blog about their practice of having developers shadow a physician as part of their hiring process. What an amazing idea! I loved this paragraph which says a lot about the health IT industry:

I was terrified. I’d worked in healthcare IT for years, but even when I worked at startups I’d been three or four steps removed from the patients and even the clinician users. Being at the point of care, watching someone’s grandfather discuss his current prescriptions with his longtime primary care provider was revolutionarily human to me—and incredibly intimidating. Add to that the pressure that I didn’t have the job yet; this was one of the final stages of my job interview.

I think if we did a survey of healthcare IT programmers, we’d be saddened to know how many of them have never been part of a clinical interaction. I bet a huge percentage of these programmers’ only point of reference for healthcare was when they went to the doctor themselves.

At TedMed I ran into a former Epic programmer who confirmed what I describe above. They were there to program something to spec. They weren’t there to understand the clinical context of what they were creating. There is something very different between a programmer involved in the design process and one just designing to spec.

Obviously, Elation EMR takes the opposite focus on their approach to EHR development. The above policy adds some depth to Elation EMR Founder Kyna Fong’s post asking “Is You EHR Clinically Valuable?“. I love when a company doesn’t just talk about something, but their actions reflect their values.

I bet many EHR vendors would be embarrassed to ask their staff if they have ever shadowed a physician. No doubt, the number would be very low.