The pMD Blog

Welcome to the
pMD Blog...

where we cover interesting and relevant news, insights, events, and more related to the health care industry and pMD. Most importantly, this blog is a fun, engaging way to learn about developments in an ever-changing field that is heavily influenced by technology.

The Hypocrite's Oath: Has modern medicine compromised the Hippocratic Oath?

“I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.”

“I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and therapeutic nihilism.”

“I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery.”

Doctors begin their careers with The Hippocratic Oath, swearing to uphold moral and ethical standards for the wellbeing of the patient. But the attitude among many doctors has evolved into a modern day version along the lines of "I'll do what I can for the patient, unless it puts myself in jeopardy." There is an ideological shift happening in medicine, and it is keeping doctors from providing the most complete care possible.

Doctors are becoming victims of a litigious society that is changing the way they communicate about patient care. Even though there has been a rise of advanced, secure communication platforms in health care technology, there is an emerging phobia of all information becoming discoverable. Doctors are having to censor their communication lest it resurface in a malpractice lawsuit.

I was recently working with a doctor during a mobile charge capture training for pMD, and he echoed an all too familiar mantra in the industry. He generally doesn’t record anything that he wouldn’t want the world to see. At some point in his career, he had taken a strong stance of never recording any information in his EHR around patient care that could potentially be used against him, even if sharing that information meant helping the patient. Yet the alternative, sending sensitive information in non-secure texts or writing it on pieces of paper or not sharing it at all, is far worse. This reaction points to the hesitation that exists in the health care community to record any kind of informal, candid information about patient care, stemming from a larger “Big Brother” paranoia. So what are doctors not saying that could be jeopardizing patients (and breaking the Hippocratic Oath)?

Advanced communication platforms for sharing health care information are being developed to improve care coordination among providers, allowing them to stay involved in up-to-date patient information more fluidly. The unintended consequence is that providers are becoming more cautious about sharing certain medical information and fostering trust issues with the system at large. Communication is imperative in medicine, and it’s an uphill battle against many different forces to improve and increase the communication in the patient + doctor + administrator intersection.

Doctors pledge that they will apply all measures necessary to care for their patients and gladly share knowledge with each other. It's time that "Big Brother" backs off so doctors can start using technology as it’s intended - as a resource used to save patients rather than avoiding it to save themselves.
ACA Account Management ACI Advancing Care Information AHCA AHRQ AI Alternative Payment Model Android API Apple Artificial Intelligence Audit BCRA Best Place to Work Big Data bootcamp BPCI BPTW Bundled Payments Care Communities care coordination Care Navigation CDC Charge Capture Charge Capture App Charge Capture Software Charge Capture Solution Charge Capture Statistics Charge Lag CHIP CIO Clinical Communication Clinical Data Registry Clinically integrated network CMS Company Culture Conferences Connected Health Record culture custom reports Customer Interaction customer success customer support Customers cybersecurity Developer DHHS EHR Electronic Charge Capture Encryption epidemic FDA FHIR Flu fundamentals Goals Health Care Health Care Technology Health Care Web Health Information Exchange Health Record Healthcare HIE HIPAA HIPAA-Compliant Hospital Census Hospital Communication IA ICD-10 ICD-11 Improvement Activities interoperability iOS iOS 8 iOS7 iPad iPhone iPhone 6 Lead Generation MACRA Medical Billing Medical Software Medicare Mentorship Messaging Messaging with Patients MGMA MIPS MIPS Registry mobile Mobile App Mobile Charge Capture Mobile EHR Mobile Health Mobile Messaging Mobile security Mobile Technology Modern Healthcare Native App news NIH OCM Oncology Care Model opioid crisis Patient Patient App Patient Care Patient Generated Health Data Patient Handoff Software Patient Information Patient Visits Patient-Centric pmd pMD Team population health Population Health Management PQRS Product Development Productivity QCDR Quality Scoring Recruiting Recruitment Reimbursement Remote Work reports Residents Responsibility Sales Secure Data Secure Messaging Secure Messaging Video Secure Text Messaging Security Audit SF Biz Times SOC 2 success support TCM Teamwork technology telehealth Text Messaging texting Travel Upgrades VA Value-based care Wearable Device wearing many hats Web App Work From Home