Pearl of the week: Open notes aren’t new

The rule changed, but the practice didn’t

| 1 Min Read
STEPS Forward Pearl of the Week

Open notes may feel like a new requirement, but the concept has been around for decades. What changed in 2021 is the mandate. Most clinicians don’t need new templates or major workflow shifts. Once enabled, notes are simply shared with patients. The real shift is making an existing practice universal, with clearer expectations for access, timing and transparency.

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Willie Underwood III, MD, inaugural address at the 2026 Annual Meeting of the HOD

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