Dr. Kathleen Myers was worried about maintaining efficiency as soon as she heard that all the emergency department physicians at Legacy Salmon Creek Medical Center in Vancouver, Wash., were going to start using electronic medical records. Her concerns were well-grounded. She soon found herself in exam rooms with her concentration split between the patient and the tablet on her lap. She was looking down while typing, missing critical clues that might help her diagnose her patients' conditions. Her doctor/patient communication was suffering. And at night, she'd go home and spend two to three hours retyping the notes she'd taken during exams so that they could fit into the uniform electronic medical records format. Something seemed wrong, if not backward.