I attended the most appalling committee meeting today.  The meeting discussed using an electronic tool to track "quality measures" of a doctor's performance.  The members of the committee had to decide what to measure (mostly bullshit paperwork), how to measure it, and how to discipline docs who don't meet expectations.  It was bad enough that very few of the measures had any real meaning.  What appalled me is that the committee consisted mostly of administrators and nurses-only 2 docs.  It wasn't that my colleagues didn't come; most of them weren't invited (I don't know how I was; I'm not usually on that committee).