| Description |
1 online resource (xii, 245 pages) : illustrations |
| Contents |
Part I. Introduction, history, general principles -- Part II. The medical note -- Part III. Other note types and presentations |
| Summary |
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 |
Includes bibliographical references and index |
| Notes |
Christopher 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 |
|
Print version record |
| Subject |
Medical records -- Methodology
|
|
Medical history taking.
|
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Medical History Taking
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| Form |
Electronic book
|
| Author |
Wong, Christopher J., editor.
|
|
Jackson, Sara L., editor.
|
| ISBN |
9783031436338 |
|
3031436334 |
|
