Nomi C. Levy-Carrick, MD, MPhil
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Mass General Brigham, Boston, Massachusetts
Rounds in the General Hospital
Strategies for Documenting the Medical Record
May 7, 2026
Documentation should be objective and relevant, especially in psychosocially complex cases—too much information can interfere with establishing the correct diagnosis and treatment plan, while too little increases risk of...