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David Keegan, an academic family doctor at the University of Calgary, discusses the basics of writing clinical patient notes. He emphasizes the importance of documenting interactions with patients, explaining that notes serve multiple purposes. Primarily, they help clinicians recall what was discussed and the treatment provided during patient visits. This documentation is crucial not only for the original provider's reference but also for other healthcare professionals who may continue the patient's care. Additionally, accurate notes are essential for medical-legal reasons, ensuring compliance and safeguarding against liability. Overall, effective note-taking enhances communication and continuity of care.
