Against Medical Advice (AMA) Jeff Bernstein

Interview #2 UCSD Med school student

8/25/17 Research intern & former Stanford RA
Conducted by Brian

Why we Jeff has worked with a lot of doctors in his current and past positions. He also has a lot of
interviewed this constructive criticism when it comes to the medical field.
person:
We really Where the inefficiencies are, especially to learn more about documentation issues
wanted to Why costs are so high
understand this: What the motivations are for doctors to perform unnecessary procedures
We learned this Billing codes are a huge headache and may lie at the root of fraud
about the Positive reinforcement for preventative medicine, not negative
problem space: Adversarial doctor/admin relationship
We were How much time physicians spend doing paperwork and interpreting the billing codes, and
surprised by: that these must be self-learned and constantly re-learned throughout a career

Other interesting Documentation is a common theme that needs to be explored further to see what other
outcomes or solutions currently exist. Also, there may be an opportunity to help improve the doctor-
learning (how administration relationship. Jeff suggested having a nurse who was trained on both the
this interview medical and administrative sides as an intermediary, but perhaps a product or service
might change could help instead. The cafeteria was an interesting angle I hadnt thought of and this is
your next very ironic, so wed like to learn more if this is also common across hospitals.
interview)