@MKIttlesonMD Greatest documentation lesson I learned in med school (and from a surgery resident!?).
“We don’t just WRITE things in our notes. You have to understand everything you write. Ask why/not for EVERYTHING you write. If you don’t know, then that’s what you need to read about.”
Most viewed in the last 7 days from @JAMAInternalMed:
Clinical Insights by @TimAndersonMD and @ZacharyGJacobs proposes a new framework for managing asymptomatic blood pressure elevation in the hospital setting.
https://t.co/eL6mzsX8xn
@emily_fri Thanks!
Also, I have gotten away from using good/bad or better/worse in general.
“Effective” and “less effective” don’t seem to carry as much judgement or provoke as much defensiveness among learners.
At some point, a map becomes less useful the closer it approaches fidelity to the territory it describes.
The same is true for SOAP notes. Not every detail is equally important. Decide what is essential (or most valuable), and remove the rest.
Accurate does not mean Effective.
@dochocson@emily_fri Looking back I am grateful to have done residency with paper charts.
Handwriting notes meant constantly asking yourself what was important and what wasn’t. I felt like it really helped me to learn and to become efficient quickly. It carried over to EHR work.