Does a parallel universe exist somewhere, in which Standards of Practice get shorter over time? 🙂 It's a joke, but... I've torn up 3 drafts of feedback on this Standard, and have now given up. The issues involved are structural and systemic, and re-wording simply doesn't get at the root problems. The paradigm reflects a paper chart, managed by a single provider - which no longer matches reality, particularly with Connect Care (i.e. a provincial-level shared chart) or other EMRs used by multiple people. Sooner or later, the CPSA needs to tackle documentation burden. There are reasons why AI scribes, and templated notes, are exploding. There's something wrong when docs are spending hours “after work” charting, and >90% of that writing will never be read, by anyone, ever. One problem is that docs are incentivized (by the CPSA, and lawyers) to "completely and comprehensively" record what they did and why they did it - but there are no incentives (including in this draft Standard of Practice) to contribute to the record in a way that really helps patient care. As one simple example, Dr A: "Have you ever tried [an antidepressant/BP med/diabetes med/etc]?" Mr. B: "I think so, sounds familiar." Dr A: "Any idea what happened? Did it work? Do you know why you stopped it?" Mr. B: "I'm sorry, I just don't remember. Don't you have that in the computer?" Dr A: "I wish..." We're mandated to have a list of current medications (which remains important, and has significant limitations), but wouldn't it be great if something as basic to medical care as "past treatments tried, and what happened" was in the chart, without having to sift through scores of individual visit notes looking for clues? As just one example?