It&#x27;s worse than 15 years behind -- it is a step backwards. In ye olden days, they recorded notes on a $50 voice recorder, and had a transcriptionist transcribe notes into a written form that went into records.<p>Now, to make data more standardized, it&#x27;s a wall of clicks and checkboxes, which require domain expertise. So doctors canned the transcriptionists, replaced them with enterprise IT and hire PAs and NPs to try to bridge the gap.<p>I shake my head every time I go to my doctor. He&#x27;s a brilliant guy and really good physician, but easily 50% of his time is dedicated to click-monkey bullshit.