u/NippleSlipNSlide on r/medicine:
Epic needs upvote/downvote arrows and karma!

I’m a radiologist, which means I rely heavily on Epic to understand a patient’s history, symptoms, and physical exam findings.

The problem? So. Many. Notes. Are garbage.

Epic itself is a labyrinth—way too many clicks to get to basic info—but that’s not even the worst part. The real killer is the quality of the notes. A huge portion are just… bad.

Case in point: I’m reading a post-op CT. Every note says something like “prior surgery with Dr. So-and-So for pain.” That’s it. No one bothers to document what was done, why, or when. Not even a hint. Surgery was performed at some outpatient center- no post op note uploaded.

I feel like I’m reading a vague Yelp review for a mystery operation.

pulling my hair out over here

Honestly, if I could downvote these notes, I would—hard. Just a little 👎 button would be cathartic. And while we’re at it, give me an upvote arrow too. The rare gems—those thoughtful, clearly written notes—deserve karma. Reward the good behavior. Encourage better documentation. I think docs would strive for good karma /reputation points in the hospital system. Make Epic a little more… epic.

Let’s gamify clinical documentation. If Reddit can do it, why can’t we?

Creating a new note and saving it to Epic happens relatively fast, whereas getting all the notes anyone has written in Epic is (as far as I know) a slower bulk operation.