Lecture Discussion 202

Katherine Buck, PhD LMFT,  Adam Guck, PhD

Primary care providers (PCPs) are increasingly subject to multiple pressures and demands that detract from tasks which provide meaning in daily work (e.g., relationship-building) and, which in turn affect clinician well-being.  Given the expanding complexities of electronic health record use, increased scheduling demands, and clerical work, we believe a central task of residency education should be to equip learners for the practical and emotional demands of the clinical environment they are entering. One key element of restoring meaning in practice involves clinical efficiency. We will outline key components of clinical efficiency and likely barriers to efficiency for residents.  Additionally, we will discuss our current system of identifying residents (and practicing clinicians) who may struggle with efficiency, identifying the main driver of inefficiency, and addressing those concerns.  We will also discuss several small change approaches to increasing meaning in daily primary care practice.