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What Residents Believe Matters in Documentation vs. What Attendings Expect

What Residents Believe Matters in Documentation vs. What Attendings Expect

The following highlights the most common documentation errors regarding residents and clarifies what attending physicians expect in areas like medical decision making, clinical detail, risk documentation, and use of templates. The table provides a quick checklist to help programs ensure consistent teaching, clear expectations, and feedback that improves documentation quality across training.

 
Download the PDF Now

 

Use the table below to assess how consistently expectations are defined and reinforced.


 

Documentation Area

Common Misconception

Attending Physician Expectation

Medical Decision Making (MDM)

Listing diagnoses is sufficient
Clear articulation of why decisions were made
 

Level of Detail

More documentation = safer
Relevant documentation that supports risk and complexity
 

Use of Templates

Templates ensure compliance
Templates must be customized to reflect clinical judgment
 

Assessment vs. Plan

Restating data demonstrates work
Synthesizing data into a clear assessment
 

Risk Documentation

Risk is implied by diagnosis
Risk must be explicitly stated and supported
 

Consistency Across Faculty

Expectations vary by attending Expectations should be consistent across the program


Quick Alignment Check


Use the checklist below to determine where your organization should be focusing documentation education efforts:

☐ Faculty expectations for documentation are clearly articulated
☐ Residents receive consistent guidance across attendings
☐ Feedback focuses on how to improve documentation—not just what’s missing
☐ Documentation corrections decrease as residents advance
☐ Residents understand the rationale behind documentation feedback
 

 

 

 

Published: 02/11/2026

Readers should not act upon information presented without individual professional consultation.

Any federal tax advice contained in this communication (including any attachments): (i) is intended for your use only; (ii) is based on the accuracy and completeness of the facts you have provided us; and (iii) may not be relied upon to avoid penalties.

 

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