Intended for healthcare professionals

Student Careers

Thou shalt write legibly

BMJ 2003; 327 doi: https://doi.org/10.1136/sbmj.0309324 (Published 01 September 2003) Cite this as: BMJ 2003;327:0309324
  1. Clare Hughes, fourth year medical student1
  1. 1Guy's, King's, and St Thomas's School of Medicine, London

Clare Hughes finds out why the Medical Defence Union sees doctors' illegible scrawls as a serious health hazard and suggests some practical tips for saving your patients from death by handwriting

An old saying goes that doctors go to school to learn how to write illegibly and pharmacists go to school to learn how to read what doctors write. But where is the evidence that our writing is so bad? The hypothesis that medics write in a code of self righteous chicken scratches has been tested in a number of studies.

How do doctors compare?

One study looked at the legibility of doctors' handwriting compared with that of other clinicians and healthcare executives and managers. Independent volunteers gave subjective ratings of legibility as either poor, fair, good, or excellent. They found that the poorest scores were associated with executives and men, but not specifically with doctors.1 The researchers concluded, however, that just because they found doctors' handwriting to be average did not make it acceptable--they were worried that illegible handwriting can be an important clinical hazard.

Another study had conflicting results and supports the conventional wisdom that doctors' handwriting is worse than most. Researchers used computer analysis to compare doctors' handwriting with that of nurses and administrative staff. Even though they were all asked to write neatly, the doctors had significantly worse handwriting than the others.2 Interestingly, the researchers found that poor legibility was confined to letters of the alphabet rather than numbers. This could indicate how important doctors think the legibility of drug dosages is. But it is not just dosages that need to be written clearly--badly scrawled drug names can become a matter …

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