Mark Wagner, Research Director and Colin Buckley, Strategic Operations Director, KLAS, Orem, UT. EMRs are often hailed as key to improvements in productivity and clinical decisions, but critics say they are poorly designed and diminish physicians’ efficiency and effectiveness. Mark and Colin discuss the results of a survey targeting physician leadership at practices with more than 25 physicians, to share their experiences concerning the usability, effectiveness and efficiency of their EMRs.