A colleague's scheduled out nine months. Here's a piece of what I'm doing about it.

Published 16 days ago • 1 min read

A colleague of mine — she sees adults, been doing primary care for a long time — told me something last week that's stuck with me.

Her practice is scheduled out nine months right now.

Nine months. She's wondering how she's even supposed to take care of her patients and see them back when they actually need to be seen.

Here's the thing — she knows what good care looks like. She wants to give it. But the way things are currently built, the templates, the panel sizes, the choices made above her pay grade, are getting in the way of the care she actually wants to provide.

I don't have all the answers to that one. It's bigger than any one of us, and there's real stuff about the current system none of us can just fix on our own.

But there's a piece I've found that's still mine to work on: not the system, but my own approach to it. Little by little, iteratively, I can get better at how I chart — and that's helped me hold onto some agency, even in the parts of the system I can't touch.

That's why I put together The Charting Mastery Guide — the same approach I use in my own practice to keep documentation from swallowing my evenings. It's not a fix for everything. It's one piece you actually get to work on.

Inside you'll find:

6 core video modules on template design, in-visit documentation habits, and actually closing notes before you leave the room
Audio of every lesson if you'd rather listen on a drive

It's $49, and it's yours to watch on your own timeline.

Get The Charting Mastery Guide

And if there's enough interest, I'll put together a bonus module on AI scribes and ambient listening — my own experience using them, what they actually fix, and the real pros and cons. Hit reply and let me know if that's something you'd want.

If you're in medicine and you're tired, or conflicted, or just wondering how to make this sustainable — for your patients, your family, yourself — I see you. This guide won't fix the nine-month wait. But it might hand you back a small piece of ground that's actually yours to stand on.

Have a great day,
Ryan

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