URMC / Medicine / Wellness / Resources Resources Navigating eRecord (Epic) Managing Your In-Basket Set priorities when you have downtime – decide on working on one thing (e.g. answering phone calls or reviewing labs) at a time and not go from folder to folder Assign time during the day to perform specific tasks (e.g. answering My Chart messages) Build margin into your day to catch up on charting and messages (schedule a block of time in the day) Strategically building time throughout the day by extending your admin time on other days instead of one large block of time on a single day Note Writing Pre-charting – make optimal use of pre-charting to prepare for your day and to streamline note writing Template use for notes Typing as you discuss – assess re-structuring exam room to include the ability to do this and be engaged with the patient Using dictation software – may need to find space to be able to do this outside of common workroom to minimize noise and distractions MINIMIZE distractions/interruptions Using space outside the work room to minimize distractions Don’t wait for results to finish your documentation Work to finish in real time before moving onto the next encounter Maximizing Time During Your Clinic Day Teamwork – engaging other members of the team (technician, nursing with additional tasks that you can defer to others to maximize use of your time) Time audit software – to try to identify how you are using time throughout your clinic morning (there is available software programs that can help you with auditing your time) Decision fatigue – how can you minimize decisions Record videos of common education that you provide (i.e. chemo teaching for common chemotherapy agents; how to use inhalers etc) Continually Re-Assess Ask for feedback from staff as they observe flow/structure of clinic Additional eRecord Resources Provider Power Series Knowledge Base Articles Unified Clinical Communications Web Paging Intranet Site (Training resources, support, links, and other information) Digital Health Intranet Site (Billing for prolonged MyChart Messages that require E and M) General Tips Consult Etiquette UR Tools UR Medicine Employee Wellness Employee Assistance Program (EAP) UR Well-U Behavioral Health Partners (for Employees and their Families) External Resources AMA Documentation and Coding Toolkit Further Reading Physician Well-being 2.0. Where are We and Where are We Going? Shanafelt T. Mayo Clin Proc. 2021 Oct;96(10):2682-2693. doi: 10.1016/j.mayocp.2021.06.005. Adopting the Quadruple Aim: The University of Rochester Medical Center Experience: Moving from Physician Burnout to Physician Resilience. Anandarajah A et al. Am J Med 2018 Aug;131(8):979-986.doi: 10.1016/j.amjmed.2018.04.034 Wellness-centered Leadership: Equipping Health Care Leaders to Cultivate Physician Well-being and Professional Fulfilment. Shanafelt T et al. Acad Med 2021 May 1;96(5):641-651. doi: 10.1097/ACM.0000000000003907. Estimating the Attributable Cost of Physician Burnout in the United States. Han S et al. Ann Intern Med. 2019 Jun 4;170(11):784-790. doi:10.7326/M18-1422 The Business Case for Investing in Physician Well-being. Shanafelt T et al. JAMA Intern Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340 Burnout and Satisfaction with Work-life Balance among US Physicians Relative to the General US Population. Shanafelt T et al. Arch Intern Med. 2012;172(18):1377-1385. doi:10.1001/archinternmed.2012.3199 Kindness as a Stress Reduction-Health Promotion Intervention: A Review of the Psychobiology of Caring. Fryburg DA. Am J Lifestyle Med 2021 Jan 29;16(1):89-100. doi:https://doi.org/10.1177/1559827620988268.