閱讀病人的醫療紀錄是醫護人員照料病人的開端，正確的書寫病例，並看懂病例相對重要，本書收錄了將近12個科別的醫療紀錄作為範例，包含入院、診療、出院紀錄等等，讓讀者可實際閱讀、書寫病患的醫療紀錄。

本書六大特點：
‧Authentic medical records rewritten for teaching purposes              
真實病歷改寫教材
‧Systematic review of medical terminology                                     
附醫學術語系統化列表
‧Systematic review of signs and symptoms of a wide range of diseases
附各類疾病病癥系統化列表
‧Strategies and tips for reading medical records from different fields of medicine                    
各科病歷閱讀攻略
‧Global and bottom up exercises for writing different parts of medical records        
詳盡且全方面的病歷撰寫練習
‧SOAP Note reading and writing included                   
含讀寫病歷記錄（SOAP note）