Leslie, do you use Dragon? Maybe that's part of it. I've been using it for several years, and find it much quicker than your way would be for me if my history is going to be even a little customized. The difference is I am never comfortable doing it in front of the patient since the note often contains my private thoughts. ( the patient can get a copy any time, but I am not interested in having a debate at appointment time). I do use a template for the ROS and physical as you do, and PH and FH change so little it doesn't matter. I think Dragon is marginally better for those templates. I simply say " male physical" rather than right click - scroll - select - enter.

Last edited by dgrauman; 07/21/2011 11:38 PM.

David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands