Ideas and Opinions1 September 2020
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    Today's clinical notes don't serve anyone particularly well. Cogent summaries are few and far between, having been replaced by templates that emphasize billability over interpretability. These long, overly detailed documents—with dozens of imported values ranging from test results to problem lists—manage to simultaneously over- and underwhelm. On the one hand, generating and reading such a note are time-consuming tasks that require substantial cognitive load and contribute to burnout (1, 2). Yet, the final product still fails to communicate much useful information (3), and much of what it does include may not even be accurate (4).

    There is a critical distinction ...