Leslie: I have been doing much the same. However, I have been thinking that the patient may see both 'ways of saying it' if they ever request their chart. i.e. "The patient has been non-compliant and thus far refused to take medication necessary to control BP." "Please consider trying to take your medicine for better control"
One solution I have seen is a doctor who wrote all his notes as if 'to' the patient. For instance: "I recommend you control your BP with sticking closely to the plan we discussed." I would be interested in seeing if any AC forum readers write all their notes 'to' the patient as well.
Another doctor friend of mine dictates, but he does it in the room. This might sound strange, but it can be very enlightening and appreciated by the patients. It serves as a good review of the visit, and they are surprised it is actually so well-organized in the doctors mind.
