I think the reality is that sometimes looking at patient's you can identify a million problems, and the fact is with today's posture's they are all probably true to some extent. However, focus on getting it right with the paperwork. Use a crib sheet with the key questions to ask, and make it a habit. Of course this cookie cutter approach does not make do in a busy work environment, but it will help develop good habits for when you start doing things alone.