Question: My program has all its first year residents doing Internal Medicine and we have no 2nd years. Normally the first & 2nd years go to morning report in the inpatient unit and write the treatment plans. Since there are no 1st or 2nd years currently able to do this, one of the attendings asked if it were possible for the 3rd & 4th years to do so, then go off to their outpatient rotations. If you are unfamiliar with a treatment plan, in NJ, such a plan is written so that the patient can review exactly what they are dx'd with, the plan the doctor has for treatment and the conditions the patient needs to fulfill in order to be released (e.g. if they were suicidal, the pt has to deny suicidal ideation for 48 hrs prior to discharge). Hmmm, I was a little bugged. Isn't it unethical to write anything concerning a patient you haven't ever seen before, nor will see after you leave the morning report? Rermember, the 3rd & 4th years are doing outpatient, we haven't seen the inpatient patients, and haven't interviewed or examined them. If we go to morning report to write a Tx plan, we won't have enough time to interview the patient in question. I felt the attending who suggested this shouldn't have been asking this in the first place, and I did smell a bit of intent for him to ask this of us because he didn't want to show up to work earlier. (Treatment plans have to be completed before about 9-10am). OK fine, I think most of you will agree that this is not supposed to be done, and yeah, I am bringing this up. However anyone have any good websites that back this up? I just want to review some literary stuff on this before the meeting with the attending.