The Sign-Out Nobody Can Use at 3 A.M.: Pruning Handoff Bloat, Killing Stale Contingencies, and Signing Out What You Promised the Patient
Residency trains you to present verbally but not to write the artifact someone else acts on at 3 a.m. This piece covers the discipline: attaching decisions to pending items, pruning templates that accumulate all week, documenting what you promised the patient, and writing notes the next reader can actually use.