In order to improve the quality of medical records written by interns of clinical medicine in hematology department

we evaluated and analyzed 100 medical records written by the interns. The main reasons that affect the quality of medical record written by interns are the writing defects that are history of present illness

past history

personal history

the record of the clinical operation

blood transfusion and chemotherapy. There are other reasons for affecting the quality of medical records

such as students in clin-ical practice not paying attention to the writing of medical records

the relative lag of teaching management

the particularity of the diseases in the department of hematology and the weak legal consciousness. Therefore

we should strengthen the teaching management

improve the comprehensive quality of the clinical teach-ing teachers

carry out the pre job training of the medical records for the interns

train the interns' inquiries and the ability to communicate with the doctors and patients

and make use of the typical medical records of the Department of Hematology to combine the discussion and other ways

so as to strengthen the interns' clinical disease writing skills and legal consciousness as well as the quality of their writing medical records.