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Discussions consistently highlight the importance of differentiating between 'solution shop' and 'production line' tasks, with examples like reorganizing team roles or reducing admin burdens. Words such as 'transformative,' 'important,' and references to articles underline a tone of advocacy for systemic change, emphasizing new workflows and the preservation of physician skills, which collectively suggest a positive outlook on the article's relevance and potential influence.
Most discussions support the idea of shifting focus from administrative tasks to more meaningful patient care, showing moderate agreement.
The posts reveal high interest, with readers engaging deeply with the concept of separating production tasks from complex clinical work.
Posts include specific suggestions like team restructuring, administrative reforms, and philosophical reflections, indicating active and thoughtful engagement.
Many comments emphasize potential benefits such as reducing burnout and improving care quality, suggesting perceived moderate but meaningful impact.
1/4 "We do not ask surgeons to gather all the instruments, scrub the operating site, fill out the the pathology requisition slip. We recognize that this would be a misuse of a limited resource.... https://t.co/JoU1XLll2Z
Related concept: MDs have more time and cognitive attention to give patients when "production line" work is done by other members of their tightly organized team, allowing physicians to focus on "solution shop" work. @NEJM https://t.co/39hESPJ4KW https://t.co/dHB1NZtXEL
By directing production-line work in medical practices away from the professionals with the most clinical expertise, we can preserve physicians' skills for the work of problem solving, medical decision making, and relationship building. https://t.co/BoJ34HClgx https://t.co/BkwgEGQ9kp
医師がsolution shopに注力し、production lineはアウトソースすればより生産性は増す。 The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM https://t.co/oNMS8NyfdS
1/ Welcome to another edition of West’s Well-Being Wednesday! Today: a thread about this recent @NEJM Perspective from @ChristineSinsky #burnout #wellbeingwednesday #wellbeing #medtwitter #meded https://t.co/QKGHtJgj3t
1/8 "As physicians we spend our days doing the wrong work for our patients. The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM https://t.co/UYZpb4FNzs
Today, host Steve Ordower interviews Dr. Jeff Panzer about his Direct Primary Care clinic in Evanston, IL. This model prioritizes patient relationships over profit, contrasting with traditional managed care. Discover…
Today, host Steve Ordower interviews Dr. Jeff Panzer, who has launched his Direct Primary Care clinic in Evanston, IL. This model fosters genuine doctor-patient relationships free from profit-driven insurance…
Today on the show, host Steve Ordower interviews Dr. Jeff Panzer about his Direct Primary Care clinic in Evanston, IL. This innovative model prioritizes patient relationships over profit, aiming to restore humanity in…
Prioritize continuity and efficiency cont'd: 4. Up-skill and up-size teams. 2 MAs:1 MD is minimum 5. Entrust nurses and MAs with inbox, med rec and other standardized aspects of care. (5/6) (See NEJM on Solution Shop vs Production Line) https://t.co/39hESPJ4KW
Valuing solution shop in medicine vs. Metrics driven production line output: Doesn't mean pushing production line to non-physicians. Goal is to align workforce talent & skills. https://t.co/7B1AeET8Qn Drs. @hfarleymd & @ChristineSinsky at #ICPH2022|#ICPH22 #doctorsarehumanstoo
@JAFERDIAN Both. See great article, btw. MD's need to mechanize procedures and use staff for "production function," reserve their own time for pt relations and explanations (my idea, don't think they say that), and "solution shop." Pursuing complex dx and rx imp! https://t.co/yCXHcccOts
RT @ChristineSinsky: Eliminating sludge (low priority admin. & EHR tasks) and directing production-line work away from those w/ most exper…
RT @ChristineSinsky: Eliminating sludge (low priority admin. & EHR tasks) and directing production-line work away from those w/ most exper…
Eliminating sludge (low priority admin. & EHR tasks) and directing production-line work away from those w/ most expertise preserves MDs skills for nuanced work of problem solving, medical decision making, and relationship building https://t.co/39hESPJ4KW https://t.co/weFqFDcN2I
RT @atlanticailabs: The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM https://t.co/u3cRQ…
The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM https://t.co/u3cRQ0mtA3
RT @ChristineSinsky: The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM https://t.co/7x59…
RT @ChristineSinsky: Related concept: MDs have more time and cognitive attention to give patients when "production line" work is done by ot…
RT @ChristineSinsky: Related concept: MDs have more time and cognitive attention to give patients when "production line" work is done by ot…
Related concept: MDs have more time and cognitive attention to give patients when "production line" work is done by other members of their tightly organized team, allowing physicians to focus on "solution shop" work. @NEJM https://t.co/39hESPJ4KW https://t.co/dHB1NZtXEL
“The tension between these two poles [solution shop and production line] contributes to moral distress and burnout." https://t.co/923mLlgUA1
RT @ColinWestMDPhD: 1/ Welcome to another edition of West’s Well-Being Wednesday! Today: a thread about this recent @NEJM Perspective from…
RT @PhysiciansFound: Process-oriented activities take time away from #physicians to address patient symptoms, build trust and minimize suff…
1/ Welcome to another edition of West’s Well-Being Wednesday! Today: a thread about this recent @NEJM Perspective from @ChristineSinsky #burnout #wellbeingwednesday #wellbeing #medtwitter #meded https://t.co/QKGHtJgj3t
RT @PhysiciansFound: Process-oriented activities take time away from #physicians to address patient symptoms, build trust and minimize suff…
Process-oriented activities take time away from #physicians to address patient symptoms, build trust and minimize suffering. Difficulty with this balance contributes to moral distress & burnout. A framework shift is needed: https://t.co/IlZAG2aaYY
@Docsocksomaha @CVSHealth John - for more on quality, see excellent NEJM article distinguishing routine stuff from doctor-intensive thinking stuff -- first is measured, second not at all. Quality industry is intellectually corrupt. https://t.co/yCXHcccOts
RT @knidac: There is a dire need for physicians to get back to solving problems rather than factory like production. Great article @NEJM @…
Yet another call from physicians for changing the US approach to measuring healthcare quality. Our current approach is burdening and burning out our physicians, with no measurable benefit to them or patients. In addition to my hea…https://t.co/YC1unIZ2YK https://t.co/MH0vPlv0k0
There is a dire need for physicians to get back to solving problems rather than factory like production. Great article @NEJM @ChristineSinsky https://t.co/r6lHxaLHJ0
RT @NEJM: By directing production-line work in medical practices away from the professionals with the most clinical expertise, we can prese…
RT @NEJM: By directing production-line work in medical practices away from the professionals with the most clinical expertise, we can prese…
By directing production-line work in medical practices away from the professionals with the most clinical expertise, we can preserve physicians' skills for the work of problem solving, medical decision making, and relationship building. https://t.co/BoJ34HClgx https://t.co/BkwgEGQ9kp
RT @therealdrchundi: #burnout #MedTwitter We did not become doctors to check boxes. Common sense which is missing in C suite. The Solution…
#burnout #MedTwitter We did not become doctors to check boxes. Common sense which is missing in C suite. The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM https://t.co/goNykcnDb0
医師がsolution shopに注力し、production lineはアウトソースすればより生産性は増す。 The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM https://t.co/oNMS8NyfdS
RT @ChristineSinsky: 1/4 "We do not ask surgeons to gather all the instruments, scrub the operating site, fill out the the pathology requis…
RT @ChristineSinsky: 1/4 "We do not ask surgeons to gather all the instruments, scrub the operating site, fill out the the pathology requis…
RT @ChristineSinsky: 1/4 "We do not ask surgeons to gather all the instruments, scrub the operating site, fill out the the pathology requis…
RT @doc_BLocke: Interesting! Extension: At AMCs, I worry that we are often exporting the "production line" work (orders, notes, algorithm…
Interesting! Extension: At AMCs, I worry that we are often exporting the "production line" work (orders, notes, algorithms) to earlier trainees, rather than training "solution shop" approaches. Then we bemoan lack of "solution shop" behavior. #MedEd https://t.co/X2leGDtU2c
RT @ChristineSinsky: 1/4 "We do not ask surgeons to gather all the instruments, scrub the operating site, fill out the the pathology requis…
RT @ChristineSinsky: 1/4 "We do not ask surgeons to gather all the instruments, scrub the operating site, fill out the the pathology requis…
RT @ChristineSinsky: 1/4 "We do not ask surgeons to gather all the instruments, scrub the operating site, fill out the the pathology requis…
1/4 "We do not ask surgeons to gather all the instruments, scrub the operating site, fill out the the pathology requisition slip. We recognize that this would be a misuse of a limited resource.... https://t.co/JoU1XLll2Z
For practical examples to ↑ physician time on solution shop work see these ideas for nurse-physician "core teams", nurse co-management of prevention and chronic illness care and planned care appointments in @Health_Affairs: https://t.co/vamZJgke2p https://t.co/pUnWF65258
RT @BuddShenkin: MEDICAL - excellent article by @ChristineSinsky and Jeff Panzer that divides health care implementation into production li…
MEDICAL - excellent article by @ChristineSinsky and Jeff Panzer that divides health care implementation into production line and solution shop functions, with different personnel for each, and need for close structural connection. Makes sense. https://t.co/yCXHcccOts
https://t.co/kBGdqwGy1t
By strategically directing production-line work in away from the professionals with the most clinical expertise, we can preserve physicians’ skills for the nuanced work of problem solving, medical decision making, and relationship building. https://t.co/wudMInJNbT
RT @HelenBurstin: Interesting article by @ChristineSinsky and Jeff Panzer on the tension between "solution shop" (ex: address sx, built tru…
The Solution Shop and the Production Line, from @ChristineSinsky of @AmerMedicalAssn and Jeffrey Panzer of @alliancecchs https://t.co/n2XG0KE1d9
An elegant proposal: The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices. https://t.co/d5MN6D4X61 @ChristineSinsky #burnout #ClinicianWellBeing @NEJM
RT @HelenBurstin: Interesting article by @ChristineSinsky and Jeff Panzer on the tension between "solution shop" (ex: address sx, built tru…
Interesting article by @ChristineSinsky and Jeff Panzer on the tension between "solution shop" (ex: address sx, built trust) and "production line" in clinical practice. "The tension between these two poles contributes to moral distress and burnout" https://t.co/QWdxOkmvoE
A strong case for shifting the focus in #healthcare back onto #relationships and a better balance and #integration between 'solution shop' and 'production line' work increasing #qualityofcare. @alliancecchs @AmerMedicalAssn @NEJM Read here: https://t.co/E13bq8Jv1Q https://t.co/zjIFyems9b
“[W]ell-intentioned technologies and policies have inadvertently crowded out the solution-shop work that is most valuable to both patients and physicians.” https://t.co/KT9N9cg6tt
RT @ChristineSinsky: "By strategically directing production-line work away from the workers with the most clinical expertise, we can preser…
https://t.co/9kmjzhMt3o
"By strategically directing production-line work away from the workers with the most clinical expertise, we can preserve physicians’ skills for the nuanced work of problem solving, medical decision making, and relationship building. #burnout @NEJM https://t.co/QNYJEv30xg
The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM https://t.co/40gJZHFs6G
1/8 "As physicians we spend our days doing the wrong work for our patients. The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM https://t.co/UYZpb4FNzs