Medical records: are you doing the right thing for your patients? explores medical records from both a practitioner and a patient perspective. Our host, Dr Martine Walker chats with special guests Dr Patrick Clancy, senior medical advisor at Avant and Dr Candace Newberry, GP for over 30 years and Medical Council hearing member for six years. Medical records are often at the heart of complaints to the NSW Medical Council. This podcast examines the importance of good record-keeping in ensuring quality patient care, what medical notes should include with examples of poor and good practice.
The legal standard for medical records in NSW is the Health Practitioner Regulation (New South Wales) Regulation 2016. The relevant sections include:
- Part 3 – Matters relating to the medical profession (available at https://www.legislation.nsw.gov.au/view/html/inforce/current/sl-2016-0543#pt.3)
- Schedule 4 – Records kept by medical practitioners and medical corporations in relation to patients (available at https://www.legislation.nsw.gov.au/view/html/inforce/current/sl-2016-0543#sch.4).