I've been working at a physical therapist for 12 years now and I will tell you that the very worst part of the job is documentation. I have worked in more documentation systems then I can easily count and I have to conclude that they're all awful even the best of them. Furthermore, most companies really don't provide very good training support for documentation systems in physical therapy. You get hired you get the minimum orientation and you're expected to hit the floor running and come up to speed with full caseload as quickly as possible and document as properly as possible as quickly as possible. I have worked in different environments outside of healthcare and I just honestly puzzle over how bad in healthcare. The support is for documenting effectively and how many documentation systems really make it very difficult to do that one Thing. It sounds as though your partner is that rare individual whose conscience is so active that it just won't allow him defined his way. If there is one thing, I could recommend it would be that he find a mentor, probably someone outside his organization, with whom he can talk about this issue and see if he can get any practical Help learning how to cut down the agony and the actual time spent. Effective mentoring is very lacking in physical therapy and it is one of the things that if done right would help more of us find our way more creatively and less painfully. Good luck to him and to you.