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David Keegan, an academic family doctor at the University of Calgary, discusses the fundamentals of writing clinical patient notes. He emphasizes the importance of understanding the purpose of notes: primarily to document interactions and treatments for future reference and continuity of care. These notes serve not only to help the original clinician recall what was discussed with the patient but also to inform other healthcare professionals who may take over the patient’s care. Additionally, properly documenting patient information is crucial for medical-legal reasons, ensuring that care provided is recorded comprehensively and accurately.
