2021-07-01

All Prescriber Bulletin - Discharge Documentation Co-sign for Medical Learners

All-user-bulletins highlight stumbling blocks that all physicians need to be aware of when using the Connect Care clinical information system.

Discharge Documentation Co-sign Mandatory for Trainees

Prescriber trainees and students, including medical students, residents and fellows, as well as nurse practitioner students, are “supervised” by fully licensed prescribers who must co-sign or attest to many trainee activities in the Connect Care clinical information system (CIS).

One activity where co-signs are always required relates to discharge documentation. History & Physical, Consult, Operative, Labour & Delivery, ED Provider Note and Discharge Summary summative documents are Connect Care note types that also flow to Netcare (and eDelivery). Without a co-sign, the summative document will post to Netcare under the trainee's name (as opposed to the attending prescriber), which in turn provides an inaccurate reflection of the record of care and can impact follow-up efforts. 

For more information on prescriber trainee accountabilities: