Pixels or patients? That is a choice that government mandated EMR (electronic medical records) has foisted upon me. Not so long ago, I could actually look folks in the face as I listened to what was going on with their children. Now, I spend much of the time, looking for the right boxes to click. After all, parents and patients often don’t give the history in the same sequence that my EMR program wants it. (“How dare they!”). I miss the face time. I fear that my medical records have changed from a thoughtful history, physical, assessment and plan. Now, I find that it reads like awkward boilerplate. With the increased cost and decreased productivity, it seems like I am forced to spend time documenting to justify the highest billing codes. I know that there are some benefits to EMR (legible records, easy to transfer information), but unfortunately, they were forced upon us before they were user friendly enough to be worthwhile.