We appreciate the insightful comments by Doll and Arora relating to our article on how internal medicine residents spend their time on inpatient services, in which we found that 67.9% of residents reported spending in excess of 4 hours daily on documentation, while only 38.9% reported spending this amount of time in direct patient contact.1 Although feedback on documentation may increase the educational value of this indirect patient care activity, it is infrequently provided.
Oxentenko AS, West CP, Kolars JC. Time Spent on Clinical Documentation: Is Technology a Help or a Hindrance?—Reply. Arch Intern Med. 2010;170(14):1276-1277. doi:10.1001/archinternmed.2010.229