The computer dings twice now, prompting me to hurry up. I remember that my patient throughput time is monitored, reported, and compared to the national average. A timer has appeared at the bottom of the screen, letting me know that I am four minutes and twenty-eight seconds behind the average ER doctor throughput time. The numbers keep climbing. If I spend too much time on one patient, I will get a letter from administration for not meeting my throughput quota.