surgeon operating

Surgery Resident Successfully Writes an Entire Consult Note Using Only Copy-and-Paste

  • 4.6K

In a feat as miraculous as the orthopedic surgeon writing a SOAP note without using any words, a surgical resident successfully composes a consult note only using copy-and-paste.

surgeon operating
“A little Crtl+C plus some Crtl+V and we are done here!”

Dr. Henry Fast was rotating on pediatric surgery when asked to rule out appendicitis on a febrile, encephalopathic child with abdominal pain.  Parents were asleep when he examined the child at 4:45 AM, so he obtained additional information from the electronic medical records.

He gleefully spotted an infectious disease consult note with the most detailed history ever recorded – including social history, diet and travel history, school field trips, pet exposures, insect bites, immunization records, herbal supplements, parents’ political affiliations, and recent antibiotic use – which he quickly copy-and pasted.

“OK, first part is done.  What’s next?” he pondered, glancing at the time, 4:47 AM, realizing he had only a few minutes to spare.

Then he noted a beautifully written neurology consult exam, including full mental status testing, visual field assessment, detailed sensory testing to light touch, temperature, pin prick, 2-point discrimination, graphesthesia, vibration, and proprioception, and rectal tone and anal wink, which was “basically the same exam I did on the kid,” so he copied-and-pasted again.

It was now 4:48 AM, and he still needed to see the remainder of the consults and all the pre-op patients.

The lab findings and recent imaging results were a no-brainer.  “Everyone copies-and-pastes those results.”  He did insist, however, that he “independently reviewed pertinent imaging studies, and agree with findings.  Clinical correlation suggested.”

He was almost done drafting his perfect note by 4:49 AM when Dr. Fast ingeniously remembered his colleague admitted a rule-out appy overnight.  “It was meant to be,” he states, as the child was even around the same age and sex.  He copy-and-pasted the impression and recommendations, by 4:50 AM, smiling at a job well done!

When his attending went to co-sign the note, she thought that his note seemed a bit long, but did not really have time to read it in its entirety.  She inserted her generic linking statement “agree with above,” which she will do for the next 10 days of copy-and-paste iterations of the same original consult note.

Whew.  Another life saved by electronic medical records!

  • Show Comments

You May Also Like

85-Year-Old Physician Executes Quadruple Click in Heroic Attempt to Open Patient’s Chart

5.8KSharesLOUISVILLE, KY – Witnesses were reportedly stunned yesterday when Dr. Montgomery “Monty” Rutherford, an ...

illiterate medical scribesilliterate medical scribes

Hospital Administration Cuts Corners by Hiring Illiterate Medical Scribes

928SharesBALTIMORE, MD – Always brainstorming innovative ways to improve the bottom line, hospital administrators at ...

Vital Signs Much Worse After Implementing Anesthesia Automatic Electronic Records

1.4KSharesBOSTON, MA – Huge swings in vital sign monitoring have some anesthesiologists and hospital administrators ...

new england journal of medicine

Tips: How to Read the New England Journal of Medicine

857SharesSTEP 1: Grab copy of New England Journal of Medicine (NEJM) from mailbox. STEP ...


Women’s Hospital Launches New Baby-Unfriendly Initiative

1KSharesTo combat a steep revenue drop at the Women and Infant’s Hospital, CEO Dr. ...

National Try-not-to-get-sick Month

Report: July The Worst Time of Year to Be Sick

4.3KSharesBOSTON, MA – A recent study demonstrated that July, the busiest time of year for ...