(Note: my poor typical skills are evident in the repetitive pounding on the "Delete" key...)
P.S.: Here's the data from a carefully-conducted "study" on age vs. typing skills I conducted some time ago.
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"How was the ABIM Foundation established?
ABIM created the ABIM Foundation in 1989. Through an extensive strategic planning process, in 1999, the ABIM Board of Directors established a separate Board of Trustees to govern the ABIM Foundation."
How is the ABIM Foundation funded?
ABIM initially transferred $5 million to the Foundation in 1990. Over nearly 20 years (between 1990 and 2008), approximately $56 million was transferred by ABIM to the ABIM Foundation. There have been no transfers since 2008.
What kind of work does the ABIM Foundation do?
The ABIM Foundation is an operating charity, and as such develops and implements projects in support of its mission.
One of the Foundation’s most significant contributions has been the publication of Medical Professionalism in the New Millennium: A Physician Charter. Co-authored with the ACP Foundation and European Federation of Internal Medicine, the Charter has been endorsed by more than 130 organizations and 100,000 copies have been distributed.
"If all clinicians needed to do with our documentation was practice medicine, our notes would be more logical and much less bloated. Laundry lists of irrelevant and inaccurate diagnoses would not populate into every note. Copy and paste would occur a lot less often, and likely could be limited to appropriate uses such as carrying over past medical history (which should always be copy and pasted after verification to reduce errors). Only relevant physical exam findings would be reported, so these would not be lost in a sea of normals. Useful information that is not valued externally, such as personal touches – i.e. patient’s wedding anniversaries, achievements of their children, would have it’s own optimized workflow.Read the whole thing.
Regulatory compliance and malpractice protection, are responsible for the large majority of the drivel that shows up in our notes. Believe me, we doctors would all love to confine our work to health care delivery, but external forces box us into this uncomfortable place, and this creates junk documentation."