RE: positive and negative aspects of physicians workload based on EHR

Positive Points
1.The article addresses a critical issue—primary care physicians' substantial time commitment to electronic health record (EHR) tasks, highlighting the relevance of the study in the context of increasing burnout.
2 The retrospective cohort study involving 142 family medicine physicians over a 3-year period, with validation through direct observation, enhances the robustness of the findings and provides a comprehensive understanding of the EHR-related workload.
3. The identification of specific EHR task categories contributing to the time burden, such as clerical and administrative tasks, offers actionable insights for potential delegation, aiming to reduce workload and improve professional satisfaction.
4. The conclusions are concise and underscore the significance of EHR event logs in pinpointing areas for delegation, offering practical solutions to alleviate physicians' workload and combat burnout.

Negative Points:
1. The study focuses on a single system in southern Wisconsin, potentially limiting the generalizability of findings to broader healthcare contexts. A more diverse sample could strengthen the external validity of the study.
2.The article mentions a 3-year data collection period, but the fast-paced evolution of technology and healthcare practices might impact the current relevance of some findings. A discussion on the evolving landscape could enhance the article's contextualization.
3. While the quantitative data on time allocation is detailed, a qualitative exploration of physicians' experiences and perceptions could provide a more holistic understanding of the impact of EHR on their professional lives.
4. While the article suggests delegation as a solution, it lacks detailed exploration or guidance on the practical implementation of delegating specific EHR tasks, leaving some questions regarding feasibility and potential challenges unanswered.