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window after the visit, each patient received a paper copy of the complete encounter note. In addition, patient survey results showed high satisfaction with this process (mean, 97%). Patients appreciated being given the chance to coauthor their medical record and felt better heard and understood. Federal laws give patients the right to access and amend their medical record. A cultural change is needed to make it commonplace for patients to access and amend their EHRs. I foresee EHR documentation improving with the mindset of communication scholars. As patients become more involved in framing their stories and crafting their narratives, communication models such as Knapp’s will guide us. For now, however, the US medical system is stuck. The transition from paper medical records to EHRs has eroded communication and displaced providers into overwhelming tasks of stenography and basic data entry. Our current trajectory is not sustainable as medical documentation needs to be accurate and truthful. Our prehistory research shows a process that remedies the integrity of EHR data, improves workflow, and fosters the patientprovider relationship. (doi:10.7556/ jaoa.2018.078)

Tool for Predicting Medical Student Burnout From Sustained Stress Levels