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The Resident Guide to Clinical Documentation
Uses, Problems and Your Audience
Welcome! (1:34)
The 4 uses of notes (4:31)
Current problems with documentation (7:42)
Understanding your audience (7:02)
The Physician and Patient-Centric HPI
How to structure your HPI first sentence (8:43)
How to write the perfect HPI story (9:26)
HPI Examples (13:52)
ROS, PMH and Objective Section
The Intentional ROS, PMH and Objective Section (11:09)
The Physician and Patient-Centric A&P
How to write an optimized A&P (16:30)
Checklists and time-blocking (4:46)
A&P examples (19:04)
Billing and Summary
Billing basics (4:24)
Summary & A Special Discount! (2:40)
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HPI Examples
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