teryhill wrote on Thursday, March 26, 2015:
How should a practice be setup to handle a supervising doctor signing off on charts
Terry
fsgl wrote on Thursday, March 26, 2015:
Amendment can be used to make it explicit as to the identity of the signer.
Or it can be worded that document was written by medical student & countersigned by attending.
Another option is to have additional e-signs. Sometimes a note is signed by the medical student, the first year resident, the second year resident, the chief resident & the attending.
Downside is that every singature is sued if malpractice is alleged.
tmccormi wrote on Friday, March 27, 2015:
From a policy perspective I have been recommending, sign but NOT LOCK as
the default and let the supervisor sign and lock the form (or encounter)
A report of forms: Not Signed, Signed but not locked, Signed and Locked
would be a sweet addition … 
Tony
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fsgl wrote on Friday, March 27, 2015:
If a clinical note is not locked, then it can be altered.
Plaintiff attorney can claim spoliation thus greatly weakening defence counsel’s hand.