Aussie Med Ed- Australian Medical Education
Aug 19, 2026 · 43 min · 16 segments
Every doctor writes notes. At some point in your career, someone will ask you for a report — an insurer, a lawyer, an employer, or a court — and the rules change. You are no longer simply documenting…
Mary ObeleGuestGavin NimonHostPerhaps you can start off by telling me what actually is a medical report and how does it differ from clinical notes we write in everyday practice?

Clinical notes, we write those to support patient care, don't we? So it's a contemporary record about what's happening during the consultation, what the patient told you, what you found on examination, your diagnosis, your management plan.

And I guess it's written mostly for other treating clinicians to see what's going on.

It's more of a considered and structural opinion, and it's written for a very specific purpose and a specific audience.

And not only do we just record what's happened, you're actually answering a very particular question using your medical expertise.

So I often tell the junior doctors that the clinical notes are like the building blocks, whereas the report is the finished building.

So if your notes are really thorough and accurate, then writing the report will be a lot easier.

But if your notes are, shall we say, sparse, well, then it's like baking a cake with half the ingredients.

And maybe that's enough for that consultation, but it doesn't tell a court very much five years later.

And I guess another important difference is that a medical report usually requires analysis.

You're weighing up that history, the exam, the investigations, all the available information before reaching your independent medical opinion.
Well, who actually ends up requesting these medical reports? Is it insurers, lawyers? Who actually asks for them?

medical reports are requested whenever someone needs an independent medical opinion to make a decision.

So it could be an insurer assessing a workers' compensation claim or a motor accident claim or income protection or total and permanent disability.

Or it might be an employer just wanting some advice about fitness for work or workplace adjustments.
Perhaps you can start off by telling me what actually is a medical report and how does it differ from clinical notes we write in everyday practice?

Clinical notes, we write those to support patient care, don't we? So it's a contemporary record about what's happening during the consultation, what the patient told you, what you found on examination, your diagnosis, your management plan.

And I guess it's written mostly for other treating clinicians to see what's going on.

It's more of a considered and structural opinion, and it's written for a very specific purpose and a specific audience.

And not only do we just record what's happened, you're actually answering a very particular question using your medical expertise.

So I often tell the junior doctors that the clinical notes are like the building blocks, whereas the report is the finished building.

So if your notes are really thorough and accurate, then writing the report will be a lot easier.

But if your notes are, shall we say, sparse, well, then it's like baking a cake with half the ingredients.

And maybe that's enough for that consultation, but it doesn't tell a court very much five years later.

And I guess another important difference is that a medical report usually requires analysis.

You're weighing up that history, the exam, the investigations, all the available information before reaching your independent medical opinion.
Well, who actually ends up requesting these medical reports? Is it insurers, lawyers? Who actually asks for them?

medical reports are requested whenever someone needs an independent medical opinion to make a decision.

So it could be an insurer assessing a workers' compensation claim or a motor accident claim or income protection or total and permanent disability.

Or it might be an employer just wanting some advice about fitness for work or workplace adjustments.
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