Reviewing test results and responding to patient phone messages has always been a part of medical practice. However, a recent study suggests that the ease of creating notifications in the era of Electronic Medical Records has dramatically increased the time physicians spend dealing with this "electronic paperwork." Researchers at the Houston VA hospital reviewed the electronic logs of all EMR notifications to physicians in 3 large practices over a 6 month period. Notifications were categorized as related to test results or not. Primary care physicians received an average of almost 77 messages in their inboxes daily, only 20% related to test results!