To fail to check a letter sent out in your name is the act of a fool.
The reason for checking a letter is to ensure that there are neither
errors nor inaccuracies in the communication or the clinical information.
It is the duty of the referring clinician to ensure the completeness,
accuracy and veracity of the provided information. If the receiving
clinician uses the information that has been provided and this information
is inaccurate, then this clearly places the patient at significant risk,
as outlined in Dr Shere's letter. The excuses for not signing a letter
which Dr Shere highlights clearly demonstrates poor professional
attitudes, and in my opinion, highlight a dangerous risk taking excercise
by the referring person. It would be more than embarrassing to declare
that a document was inaccurate and unsigned if one's legal defence
depended on that document. The theme raised by Dr Shere also applies to
internal communications and the completion of request forms. Consider, if
a monetary cheque is invalid until it is checked, signed and dated then a
clinical letter or communication should be viewed similarly. Sign a cheque
- sign a letter!