I am currently using 3 systems to manage my patient’s care. I have recently moved clinics, and have found the data transfer to be incomplete, and prone to errors. This has lead to delays in care, and in one case, a possible missed cancer diagnosis. The digital ‘sludge’ I have to work through on a daily basis (logging in, authenticating, setting passwords, phoning or chatting with tech personnel) is a demand on time and cognitive energy. It leaves me feeling frustrated and distraught at the end of the day. I feel at constant risk of another burnout.