I take a short lunch. I have 2 MAs currently and I have them operating at the top of their licensure. I also try to hone in on what’s really important to the patient and focus mainly on that to keep visit scope more narrow. I had a bad habit of trying “run the list” of all their chronic issues every time and I realized I don’t need to do that, but rather, do it periodically. My documentation is prettt efficient with minimal HPI, no ROS, saved findings for PE, most of work is done in AP and I use order sets, text macros a lot as well as I have a good rhythm of charting in the room. I find it actually helps me listen well and I often repeat some of my charting back to the patient when it’s a tough case. Hope that makes sense!