Physician "scribes" defeat the whole purpose of doing CPOE(Computerized PHYSICIAN Order Entry). I am currently heading the implementation of CPOE at our critical access hospital and the physicians, for the most part, are doing OK. They're those who are wanting to use a scribe because they think of it as clerical work and not as a tool like a laser that gives more precise results. They have actually stated that they are the "most educated and highest paid personnel and you have us doing clerical work. The real key to success is the hospital administration taking a stand to persuade the physicians that it is in the best interest of the patient and the physician to do CPOE right. Physicians will say they are going to review the orders before they electronically sign them but I suspect most will take the lazy way out as usual.