The 5PM Club: Why Healthcare Workers Are Finally Refusing to Work Past Closing

By Spencer Hulse Spencer Hulse has been verified by Muck Rack's editorial team
Published on February 24, 2026

Healthcare workers are setting a new boundary. When the last patient walks out at 5 p.m., clinicians want to leave too. For years, the expectation was different. Finish appointments by 5 p.m., then spend two or three more hours charting notes, processing claims, chasing unpaid invoices, and managing schedules. That pattern is breaking.

Research shows healthcare workers who average more than 60 hours per week face double the odds of work-related burnout compared to those working 40 hours. When hours exceed 84 per week, burnout risk quadruples. The movement away from unpaid overtime is not about refusing work. It is about refusing systems that make finishing on time impossible.

WriteUpp, a practice management platform serving over 50,000 healthcare professionals globally, calls this shift the 5PM Club. The concept is straightforward. Clinical software should reduce administrative work, not create it. Eric Lalonde, CEO of WriteUpp, frames the issue as a breaking point that practices are finally addressing. “Healthcare workers spent the last decade being told that going digital would save time,” Eric said. “Instead, they got clunky systems that turned every task into a project. The 5PM Club is about rejecting that trade off.”

Why Healthcare Workers Stay Late

Administrative burden has become the largest driver of after-hours work in healthcare. One physician reported that for every four-hour patient-facing clinic session, an additional five hours of non-patient-facing administrative time were required. That ratio means a full clinical day generates more than a full workday of follow-up tasks.

Documentation represents the biggest time sink. Clinicians spend an average of 13.5 hours per week on clinical documentation, much of it completed outside regular working hours. Electronic health records were supposed to speed this process, but often made it worse. Studies show that almost 37 percent of face-to-face patient time is now spent on EHR-related clerical work rather than clinical interaction.

Billing and scheduling add to the load. Manual invoice processing, payment follow-up, appointment confirmations, and rescheduling requests all require time that extends beyond patient care hours. When these tasks lack automation, they pile up at the end of the day and push clinicians into evening work.

The financial pressure makes the problem worse. Practices cannot afford to leave revenue on the table, so unpaid invoices must be chased. Appointment no-shows cost money, so schedules must be managed carefully. Insurance claims get rejected, so prior authorizations and paperwork must be handled promptly. Each of these tasks is necessary, but when the tools are inadequate, the burden falls on clinicians.

Eric argues that the issue is systemic rather than individual. “We hear clinicians blaming themselves for not being fast enough or organized enough,” he said. “The reality is that their software is making simple tasks complicated. You cannot fix that with personal productivity hacks.”

What the 5PM Club Actually Means

The 5PM Club is not about reducing clinical quality or seeing fewer patients. It is about using technology to compress administrative tasks so clinicians can finish their work during work hours. WriteUpp built its platform around this principle, focusing on features that eliminate repetitive manual work.

Automated appointment reminders reduce no-shows, which means fewer gaps in the schedule and less revenue lost to missed sessions. Research shows that SMS reminders alone can reduce no-show rates by 38 percent. When patients show up consistently, practices run more predictably, and clinicians spend less time scrambling to fill last-minute cancellations.

Faster documentation tools cut charting time. WriteUpp offers customizable templates, smart fields, and integrated AI scribe functionality that turn hour-long documentation sessions into minutes of work. For clinicians completing notes for six or eight patients per day, shaving even 10 minutes per note saves an hour or more daily.

Embedded billing and payment processing speed collections. When invoices go out automatically, and patients can pay with a single click, practices get paid faster, and staff spend less time chasing overdue accounts. WriteUpp bundles these features into one platform rather than forcing practices to stitch together separate tools for scheduling, charting, billing, and communication.

How Practice Management Software Supports the Shift

Practice management software like WriteUpp reduces after-hours work by automating the tasks that traditionally keep clinicians late. Scheduling tools handle appointment bookings, confirmations, and reminders without manual intervention. Patients can book online 24/7, and the system only shows available slots that respect buffer times and appointment rules.

Billing automation sends invoices immediately after appointments and processes payments through integrated systems like Stripe. This eliminates the end-of-day task of manually generating invoices and following up on outstanding balances. When payments are embedded in the workflow, cash flow improves and administrative overhead drops.

Clinical documentation tools support mobile access so notes can be completed between patients rather than saved for after hours. WriteUpp’s platform works on desktop and mobile devices, allowing clinicians to finish charting while details are fresh rather than reconstructing sessions from memory at 7 p.m.

Telehealth integration removes the need for separate video platforms. When video consultations, messaging, scheduling, and documentation exist in one system, clinicians manage fewer logins and reduce the cognitive load of switching between tools. WriteUpp includes telehealth as a standard feature rather than charging separately, which makes remote care accessible without adding cost or complexity.

The platform also provides human support that responds in an average of seven minutes. When technical problems arise, practices get help quickly rather than waiting in ticket queues that stretch into the next day. Fast support matters because a broken scheduling system or billing glitch can disrupt an entire practice day.

Why Practices Are Joining Now

Healthcare worker burnout has reached crisis levels. Studies show burnout rates among physicians are around 43 percent, with nurses experiencing even higher rates. Long working hours are a significant contributor. Workers averaging more than 60 hours per week show doubled burnout risk, and the risk continues climbing with additional hours.

The administrative burden is measurable. Canadian physicians alone spend 18.5 million hours annually on unnecessary administrative tasks. While that figure covers physicians specifically, it reflects system-wide inefficiency that touches all healthcare roles. When administrative work steals clinical time, patient access suffers, and worker satisfaction drops.

Practices are also recognizing the financial case for better software. The time clinicians spend on after-hours admin is unpaid labor that could be redirected toward patient care or personal recovery. When software reduces that time by even a few hours per week, the return on investment becomes clear. WriteUpp starts at £29.95 monthly in the UK and $34.95 in Canada, pricing that positions it well below competitors while including features others charge extra for.

Eric frames the 5PM Club as both a practical goal and a cultural shift. “For too long, healthcare normalized the idea that clinicians should sacrifice their evenings to keep up with paperwork,” he said. “The 5PM Club says that is unacceptable. If the software cannot get you home on time, the software is broken.”

What Happens When Clinicians Finish on Time

When clinicians stop working unpaid overtime, several outcomes improve. Burnout rates drop, which means better retention and fewer vacancies in an already strained workforce. Patient care quality improves because well-rested clinicians make better decisions and maintain stronger therapeutic relationships.

Practice operations stabilize. When schedules run predictably, and revenue collection is consistent, practices can plan more effectively and invest in growth rather than constantly reacting to crises. Staff morale improves when the workload feels manageable rather than perpetually overwhelming.

The 5PM Club also makes healthcare careers more sustainable. Medical training is long and expensive. When clinicians burn out and leave practice, that investment is wasted. Tools that help workers stay in their roles longer benefit the entire system.

WriteUpp is not the only platform trying to solve these problems, but it is positioning itself around a clear outcome. Clinicians should be able to finish their work when their last patient leaves. That requires software designed to compress admin rather than expand it. It requires automation that actually works and support that responds when problems arise.

Eric is direct about the stakes. “Healthcare cannot afford to keep losing workers to burnout, and workers cannot afford to keep sacrificing their lives to broken software,” he said. “The 5PM Club is about fixing that. If we can give clinicians their evenings back, we make healthcare more sustainable for everyone.”

For practices ready to stop accepting that after-hours work is inevitable, the 5PM Club offers a clear benchmark. Evaluate whether the current software helps clinicians leave on time. If not, it may be time to look at alternatives designed around that goal. WriteUpp practice management software was built for healthcare workers who want better tools, faster support, and the chance to actually go home when the workday ends.

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By Spencer Hulse Spencer Hulse has been verified by Muck Rack's editorial team

Spencer Hulse is the Editorial Director at Grit Daily. He is responsible for overseeing other editors and writers, day-to-day operations, and covering breaking news.

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