How has immediate patient access to their medical records changed your documentation?

Sadly, EMR has destroyed medical records... trying to figure out what happened, etc., is like an archaeological dig.

Interesting question. Complex to answer.

I was taught to always write notes as if the patient would/could have access to them, so patient access has not significantly modified my approach over many years.

Notes are primarily for documentation for ourselves and our colleagues; patient education can be a bonus but is not a primary objective of medical notes, so I do not shy away from using terminology which is there for its specific meaning in the given context.

That said, when a discussion is com...