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well lets get a little bit more of this administrative stuff out of the way charting charting is um its a pain in the butt and i find that you know the literature is really pretty straightforward on this we waste a lot of time look at this four thousand clicks in a ten hour day four thousand clicks in a ten hour day one study this is an american general emergency medicine so this is a emergency medicine related study 44 of their time is spent related to charting or something related to that computer um its a terrible waste in terms of how many more patients could be seen if we that clinician was not spending 44 of the time with charting i dont think anybody in the rest of the world does anything like this with regard to charting so were really got to wait behind us because of this charting that were expected to do so theres been some try ways to try to get around like lets get some scribes lets um lets get an electronic medical record that would yeah that would be a big help