ACP Task Force recommendations on ‘Restoring the Story’
An ACP Task Force made recommendations about turning the clinical note into a thoughtful assessment and care plan that captures patients' stories and distinguishes between documentation and communication.
In a new Ideas and Opinions piece published by Annals of Internal Medicine on July 14, “Restoring the Story and Creating a Valuable Clinical Note,” members of an ACP Task Force made recommendations about how clinicians can reclaim the clinical note by turning medical information into a thoughtful assessment and care plan that captures patients' stories and maintains the important link between humanism and medicine.
The article discusses the critical distinction between documentation and communication, asserting that today's clinical notes, borne out of electronic health records, present barriers to understanding patients and their history. To join the conversation and comment on this topic, follow #ReclaimClinicalNotes on social media and tag @IMMattersACPs.