News Headlines Article

What’s your doctor writing about your visit?
San Diego Union-Tribune

If it’s not written down, it didn’t happen; if you didn’t document it, then you didn’t do it.

This mantra of medical practice pushes doctors to take notes after every office visit, forming a written narrative that serves as a kind of institutional memory about each patient’s evolving condition and as a legal record of the care they’ve received.

Traditionally, the audience for these writings has been the doctors who write them and other involved medical professionals. But that’s changing rapidly with the advent of the electronic medical record and a growing “Open Notes” movement that insists patients have every right to see pretty much everything their doctor writes about them.

San Diego has recently become an Open Notes hotbed.