BMJ 2004; 328 doi: (Published 13 May 2004) Cite this as: BMJ 2004;328:1209
  1. George Dunea, attending physician
  1. Cook County Hospital, Chicago, USA

    One of the chief causes of present day discontent among doctors in America is the constant pressure to document in tedious detail every interaction with patients. Two things are responsible for this, the first being the unresolved malpractice crisis, resulting in doctors being repeatedly warned that what is not documented is as if it had not been done.

    The second is the government's obsession that it might be paying for services that were …

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