Medicine has changed a lot since I began practicing 15 years ago. There were no MIPS measures, no sepsis protocols, no door to provider times; in fact, the term provider was not even a ‘thing’. Medicine wasn’t perfect, but the stress level was exponentially lower. Back in the early 2000’s, the biggest concern was malpractice. Now? We have times and measures and protocols and numbers and metrics AND malpractice. Add to this the government-mandated Electronic Medical Record (EMR), which can make documentation exponentially more cumbersome.