Increasing Physician Efficiency: Eliminating the WAC

Everyone talks about the barriers caused by the EHR, about hours spent entering data, about time after clinic which could be spent with family. Using what’s she’s learned in her practice, Karen Muchowski will share tips on changes YOU can make as an individual to improve your efficiency, so you can eliminate the Work After Clinic (WAC).

Learning Objective:

At the end of this session, learners should be able to:

  • Describe a new communication tool you can use to improve patient interviews
  • Outline one change to make during your day to stay on time
  • Employ one new skill to decrease documentation time


This activity is designed for family medicine physicians.


This activity will not include discussions of products or devices that are not currently approved for use by the Food and Drug Administration (FDA), and the curriculum clearly indicates this fact.


This activity is supported by the California Academy of Family Physicians. 


There is no charge for this activity.


CAFP policy and California state law requires that each learning activity have elements of cultural and linguistic proficiency included in the content. The definition of cultural and linguistic competency is the ability and readiness of health care providers and health organizations to humbly and respectfully demonstrate, effectively communicate, and tailor delivery of care to patients with diverse values, beliefs, identities, and behaviors, in order to meet patients’ social, cultural, and linguistic needs as it relates to patient health. This activity meets these requirements.


CAFP policy and California state law requires that all CME activities comprising a patient care element include either (1) examples of how implicit bias affects perceptions and treatment decisions of physicians and surgeons, leading to disparities in health outcomes and/or (2) strategies to address how unintended biases in decision-making may contribute to health care disparities by shaping behavior and producing differences in medical treatment along lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status, or other characteristics. This activity meets these requirements.


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The CAFP has made all reasonable efforts to ensure that information contained herein is accurate in accordance with the latest available scientific knowledge at the time of accreditation of this continuing education program. Information regarding drugs (e.g., their administration, dosages, contraindications, adverse reactions, interactions, special warnings, and precautions) and drug delivery systems is subject to change, however, and the learner is advised to check the manufacturer's package insert for information concerning recommended dosage and potential problems or cautions prior to dispensing or administering the drug or using the drug delivery systems.

Approval of credit for this continuing education program does not imply endorsement by CAFP of any product or manufacturer identified.

Any medications or treatment methods suggested in this CME activity should not be used by the practitioner without evaluation of their patient's condition(s) and possible contraindication(s) or danger(s) of use of any specific medication.


© 2022 California Academy of Family Physicians. No part of this activity may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embedded in articles or reviews.

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Karen Muchowski, MD, FAAFP

Karen Muchowski, MD is a board-certified family physician with a special interest in women’s health, pediatrics, and chronic pain issues.

Dr. Muchowski attended medical school at the University of California at Davis and finished her Family Medicine Residency at Oregon Health Sciences University. She has divided her career equally between full time clinical medicine and residency teaching; and is currently in full time practice with Graybill Medical Group in Temecula, California. She is interested in pediatrics, women’s health and takes a collaborative approach to managing patients with chronic pain. She is a member of the Committee for Continuing Professional Development for the California Academy of Family Physicians and a master faculty member of the Collaborative for REMS education (CO*RE).

Conflict of Interest Statements:

The Committee on Continuing Professional Development and CME will be responsible for mitigating any relevant financial relationships disclosed by an individual who may have influence on content, who have served as faculty, or who may produce CME/CPD content for the CAFP. Mitigation may include learner notification, peer review of content before presentation, requirement of EB-CME, changing topics, or even dismissing a potential faculty member.

It is the policy of the CAFP to ensure independence, balance, objectivity, scientific rigor, and integrity in all continuing education activities. All individuals with potential to influence the content of this program have submitted Disclosure of Interest declarations that have been reviewed according to policy. Learner notification of declarations is below. All individuals with relevant financial relationships with ineligible companies have been contacted by CAFP staff or CCPD members, and issues of conflict have been discussed and mitigated.

Faculty Disclosure:

Karen Muchowski is an investor in Defined Research, a company addressing insomnia through use of CBD. This relevant financial relationship has been mitigated.

CME Planners:

The following planners have no financial relationships with ineligible companies to disclose: Jerri L. Davis

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