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Hundreds of thousands of medical documents are generated each year to communicate vital information about patient care. Yet all too often, these documents are marred by unclear writing, poor organization, and insufficient information, risking misunderstanding, confusion, and sometimes even patient harm. This study analyzes common medical documents, including admission notes, discharge summaries, letters written by the primary care physician to specialists, letters from the specialists to other physicians, and progress notes, and presents abundant examples of the various types of mistakes found in them, together with recommendations for avoiding these errors. Clear instructions for composing coherent documents are given, with detailed examples.
This book will contribute to the research of medical language, including jargon, abbreviations, text organization, relevance, repetition, grammatical mistakes, paradox, lack of consistency, and organization, as well as the rapidly evolving use of copy and paste in various disciplines. Most importantly, professionals who work with patients, including physicians, residents, interns, medical students, nurses, physiotherapists, social workers, and other personnel will learn how to improve medical communication for better patient care.

Dr. Gila Shilo is Chairman of the Israeli Association of Applied Linguistics and Senior Lecturer, Department of Hebrew Language, Beit Berl Academic College. Dr. Shilo is active in language and educational research and has published numerous article and several books. She organizes and actively participates in a wide range of national and international conferences.

Lotan Shilo, MD, is a graduate of the Hebrew University and Hadassah Medical School, board certified in Internal Medicine and Clinical Pharmacology. He has been a fellow in Clinical Pharmacology at Stanford University and is currently head of the Clinical Pharmacology Service and attending senior physician in medicine at Meir Hospital, Kfar Saba.