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06/05/26

Crafting the clinical problem list: a practical guide for medical trainees.

Leung, An Jian; Ng, Isaac K S; Nashi, Norshima; Chiam, Justin T W. Postgraduate Medical Journal

Collection Topics
Health IT
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Summary

The clinical problem list is central to inpatient and outpatient diagnostic documentation. Despite widespread EHR use, audits still find problem lists incomplete, inaccurate, and poorly written. These shortcomings can undermine patient safety, continuity of care, and medicolegal accountability. This commentary shares the history of the clinical "SOAP note" and problem list and offers practical guidance for trainees and supervisors on turning raw clinical information into prioritized, actionable problem statements that make diagnostic reasoning visible.

Read the paper
Leung AJ, Ng IKS, Nashi N, et al. Crafting the clinical problem list: a practical guide for medical trainees. Postgrad Med J. Epub 2026 Jun 5.