"Although I've been occasionally remiss in keeping all sign-offs and dictations current, I feel it is important to be diligent in keeping current. It is not lost on me that reimbursement by third-party payers can be affected by incomplete charts. Just as important is the need for accuracy, and the specifics of a procedure or rounds can be spotty if too much time has passed. For these reasons, I agree that keeping current is important and would always strive to be timely in my charting as a Pediatric Intensive Care Fellow with your program."