I used the dot phrases for sections of notes…like .pex would insert my normal full physical exam and .ros was wall the routine medically unnecessary stuff to ensure maximal dollar extraction at the command of my intern year institution. I had a bunch of dot phrases for treatment plans like .romi or .chf…

Ever hear of the T-sheet system for the ED? It’s brilliant. Maybe 50 canned notes on physical paper for common conditions and all you have to do is cross stuff off that’s untrue.