As a primary care physician, you know that completing clinic notes while you’re treating many patients is time-consuming and challenging. That’s why StatNote, a library of more than 1,000 medical templates, was created for you. It reduces busy work and enables you to focus on the most important part of the office visit: your patient.
Capture the essentials of the visit with minimal effort with our KISS dot phrases. Dr. Bonilla, a medical documentation ninja, crafted simple and useful dot phrases that will make you more efficient and productive.
StatNote’s dot phrases will help you:This book familiarizes you with all the available boilerplate templates. An electronic version can be purchased at statnote.com and used with a text expander in any EHR system.
In this book you will find dot phrases for all primary care specialties. Family Medicine & Internal Medicine dot phrases include templates for annual physicals and wellness visits. We also have dot phrases for Pediatrics and OBGYN. With templates for well woman & well child checks or sports physicals. Urgent Care dot phrases?, we have them.
Dot phrases for procedures used in Sports Medicine and many templates for common procedures in Primary Care also included.
Behavioral Health? We have psychiatry dot phrases too. We even have dot phrases for hospitalists and inpatient care.
You will find thousands of dot phrases for the most common conditions encountered in primary care.
"[Dr. Bonilla] is always on the forefront of trying to help the family doctor become more efficient when handling electronic health records. This compilation of dot phrases is another example of his hard work, dedication and desire to help us have work-life balance..."- Pamela Davis, MD, Program Director, Dignity Health Family Medicine Residency at Northridge (affiliated with the David Geffen School of Medicine at UCLA)
StatNote is creating tools to expedite medical documentation to bring back the joy of seeing patients and increase revenue. Can you write your progress note in less than 1 min? Find more at statnote.com
the "no-touch" exam
General: No acute distress. Awake and conversant.
Eyes: Normal conjunctiva, anicteric. Round symmetric pupils.
ENT: Hearing grossly intact. No nasal discharge.
Neck: Neck is supple. No masses or thyromegaly.
Respiratory: Respirations are non-labored. No wheezing.
Skin: Warm. No rashes or ulcers.
Psych: Alert and oriented. Cooperative, Appropriate mood and affect, Normal judgment.
CV: No lower extremity edema.
MSK: Normal ambulation. No clubbing or cyanosis.
Neuro: Sensation and CN II-XII grossly normal.
(everything documented can be gathered from entering the room, saying hi to the patient and shaking his or her hand.) This template covers nine organ system or elements required to be documented for billing purposes.
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