Before EMR, I spent about 85 to 90 percent of my time with the patient, and the rest documenting the visit. Now, two years into EMR, it's about 60/40. Early on, I spent the first few minutes of the patient visit apologizing for the computer and its stand, joking about the new presence/barrier in the room. Lately, I've noticed that I just walk in the room, fire up the computer, and get on with the visit, without apologies. This despite a recent study indicating that eye contact improves patients' satisfaction with the visit.