At first most physicians were reactive rather than pro-active regarding quality improvement measures. A whole new vocabulary of medical eponyms rapidly developed to explain previously unrealized power of health information technology.
Some changes also impacted heavily upon medical ethics and standards of care. Many previous practice routines became obsolete, to be replaced.
Young physicians will have little difficulty with the new system because they were born and raised with the new technology and ethics. Mid-career and late-career MDs will at first struggle with the transiton process.
Organized medical groups, the AMA and specialty associations have promulgated new guidelines and preferred practice patterns for physicians.