The patient-centered approach to medical note-writing / Christopher J. Wong, Sara L. Jackson, editors.

Other author Wong, Christopher J., editor.
Other author Jackson, Sara L., editor.
Format Electronic
PublicationCham, Switzerland : Springer, [2023]
Copyright Date©2023
Description1 online resource (xii, 245 pages) : illustrations
Supplemental ContentDirect link to eBook
Subjects

Contents Introduction: Why this book? -- A History of Medical Charts: Who owns it and who is it for? -- Patient-Centered Language: General Principles -- The Chief "Complaint" and History of Present Illness -- The Problem List / Medical History -- The Social History, Substance Use, and Lifestyle Habits.
Abstract Patients are increasingly accessing their own electronic health record, ushering medical chart notes out of the cloistered purview of clinicians and into the age of transparency. With the recognition that patients are reading what is written about them, there is a need for a comprehensive reference on best practices for writing medical notes in this new era. The Patient-Centered Approach to Medical Note-Writing covers important topics including stigmatizing language, the electronic health record, the different parts of a typical medical note, mental health, substance use, difficult encounters, and how to address electronic communication such as test results and patient messages. This book serves as a vital reference for students, residents, fellows and practicing clinicians.-- Provided by publisher.
Bibliography noteIncludes bibliographical references and index.
Biographical noteChristopher Wong, MD is an Associate Professor of General Internal Medicine at the University of Washington. Sara Jackson, MD, MPH is an Associate Professor of General Internal Medicine at the University of Washington.
Source of descriptionPrint version record.
Issued in other formPrint version: PATIENT-CENTERED APPROACH TO MEDICAL NOTE-WRITING. SPRINGER, 2023 3031436326
ISBN3031436334 electronic book
ISBN9783031436338 (electronic bk.)
ISBNpaperback
ISBNpaperback
Standard identifier# 10.1007/978-3-031-43633-8

Availability

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Electronic Resources Access Content Online ✔ Available