Agreed, there is probably no feedback system whatsoever, and the IT guy is almost certainly more powerless than the doctor. Which points to the real problem -

Agreed, there is probably no feedback system whatsoever, and the IT guy is almost certainly more powerless than the doctor. Which points to the real problem - it's usually the administrative staff that signs off on the software requirements with feedback only coming from other administrators. At least, that was the predominant trend for electronic medical records during the 90s and the earlier part of the past decade.