Medicine is supposed to be precise, clinical, and strictly professional, but sometimes, it takes an unexpectedly hilarious turn. In the middle of documenting symptoms and treatment plans, a perfectly ...

The "SOAP" -- subjective, objective, assessment, plan -- format has been in common use for decades as a way of organizing physician progress notes in medical records, but it was created during a ...

Physicians’ style of note-taking could affect the quality of care they provide, according to a study published in the Journal of the American Medical Informatics Association. The study examined ...

When reading electronic notes in patients’ electronic medical records, physicians focus mostly on the “Impression and Plan” section and have a tendency to skim the sections covering medications, vital ...

Eating your veggies? Thumbs up. With computerized records and messaging through patient portals, some doctors have traded their infamous chicken scratch handwriting for easier-to-decipher ...

Nine health systems and organizations in Washington and Oregon -- representing more than a million patients -- have pledged to open up physician notes to patients via electronic medical records by the ...

Suffering an injury after an accident can be overwhelming. Between recovering physically, managing bills, and figuring out how to get compensation, things can get complicated fast. One of the most ...