Stanley J. Reiser, MD, PhD
The clinical case record freezes in time that episode in life called illness. It is a story in which patient and family are the main characters, with the doctor serving a dual purpose as both biographer and part of the plot. The content of this biography varies greatly, reflecting its many purposes: to recall observations, to inform others, to instruct students, to gain knowledge, to monitor performance, and to justify interventions. In this essay, I discuss how clinical cases have shaped and reflected learning and action in medicine and how the document in which these cases are inscribed—the clinical record—has
Reiser SJ. The Clinical Record in Medicine Part 1: Learning from Cases1. Ann Intern Med. 1991;114:902–907. doi: 10.7326/0003-4819-114-10-902
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Published: Ann Intern Med. 1991;114(10):902-907.
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