![]() With patient satisfaction being reportedly neutral or positive with the use of scribes, the positive impact of scribes on patient satisfaction could be due to a variety of factors. No significant difference was noted in patient clinic experience scores. Patients also benefitted from scribes, with reduced rooming time and reduce waiting time for the surgeon. The use of a scribe improved nursing assessments of the clinic overall, provider communication, and sense of physician rushing. Surgeons reported having more time to educate students, residents, and patients when using a scribe. The use of a scribe also had a positive impact on surgeon SANE scores and physician well-being. More specifically, the use of a scribe decreased the amount of documentation significantly from an average of 104 minutes to 25 minutes per half day of clinic, a 76% decrease in documentation time. When compared to a half-clinic day with a scribe, this amount of time decreases significantly from 191 minutes to 50 minutes, a 74% decrease. In total, orthopaedic sports surgeons spent a total of 191 minutes per half-day of clinic on average documenting throughout the day and using the computer with a scribe. The use of scribes in a high-volume orthopaedic sports medicine clinic decreased the amount of physician documentation time, positively impacted physician well-being, improved nurses’ assessment of the clinic overall, with no resulting change in patient satisfaction. ![]() Total estimated time (minutes) spent documenting encounters throughout each half day of clinic, mean (SD) Time (minutes) spent documenting after last patient per half-day of clinic, mean (SD) I had adequate time to teach medical students and trainees today (1-Strongly Disagree to 5-Strongly Agree), mean (SD) I had adequate time to perform patient education in clinic today (1-Strongly Disagree to 5-Strongly Agree), mean (SD) Table 1 Orthopaedic Sport Surgeon Data on Clinic Days With Scribes and Without Scribes Item These well-being scores were physical well-being (9.3/10 P <. The average scores on measures of well-being were all significantly higher when compared to the no-scribe clinic days. ![]() The average SANE score was also significantly higher than the no-scribe clinic days at 89.3 ( P <. 001) for “I had adequate time to teach medical students and trainees today.” The time spent documenting encounters throughout each half-day of clinic was estimated to be significantly less at 26 minutes on average ( P <. 001) for having “adequate time to perform patient education in clinic today,” and 4.1 out of 5 ( P <. On a scale of 1 (strongly disagree) to 5 (strongly agree), surgeons reported a significantly greater score of 4.4 out of 5 ( P <. The average time spent per half day of clinic spent documenting after the last patient was 25 minutes, on average, significantly less than the 104 minutes spent on nonscribe clinic days ( P <. There were 30 physician surveys filled out on scribe clinic days.
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