Enhancing quality of trainee-written consultation notes.
نویسندگان
چکیده
Inpatient consultations between generalists and specialty care providers represent a specific situation where poor information exchange between physicians could result in delayed diagnoses, inadequate follow-up, or duplication of services. Unfortunately, subspecialty trainees do not reeive formal instruction in how to provide an effective onsultation. As a result, consultation notes are variable in quality and often do not meet the needs of referring providers or patients.
منابع مشابه
Short and sweet: writing better consult notes in the era of the electronic medical record.
A fter 4 decades of clinical practice in a teaching hospital, I believe that the notes we write to document medical consultations are too long. When I review them for my own patients, the only part I read is the consultant’s assessment and diagnostic and therapeutic recommendations. Many of my colleagues and trainees do the same. In the old days, when medical records were handwritten, the first...
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ورودعنوان ژورنال:
- The American journal of medicine
دوره 125 7 شماره
صفحات -
تاریخ انتشار 2012