
Author
Joseph A. Rotella, MD, DC
Dr. Joseph Rotella is a board-certified family medicine physician and Doctor of Chiropractic with more than two decades of clinical experience. He founded and built a multidisciplinary medical practice from the ground up, giving him firsthand insight into the communication gaps that too often leave patients uncertain about what to do next.
Throughout his career, Dr. Rotella recognized that excellent medical care depends not only on making the right diagnosis, but also on helping patients understand what to do after they leave the office. This realization led him to develop the PENCIL Framework and found PENCIL Health™, an initiative dedicated to transforming patient education into standardized written care plans that patients can understand, follow, and remember.
Articles by Dr. Rotella

Physician's Sticky Notes: What the Research Supports
A short written request can connect the exam room to a care plan at checkout.
Joseph Rotella

After Visit Summary Template: What the Research Says to Include
Adding more to the page did not help patients remember more.
Joseph Rotella

Verbal Instructions and Written Instructions: What Studies Show
Most patients who misunderstood did not know they had misunderstood.
Joseph Rotella

How to Write Patient Education Materials Patients Can Use
Most of what makes a handout work is decided before the first sentence is written.
Joseph Rotella

The Teach Back Method for Patient Education: What Studies Show
The newest and most careful review found something narrower than most guides describe.
Joseph Rotella

The Four Pillars of Better Patient Education
I believe better patient education starts with four practical standards: Relatable, Readable, Actionable, and Recognizable.
Joseph Rotella

The Healthcare Improvement We Can Start Today
When a patient receives a new diagnosis, starts a new medication, or is scheduled for a procedure, they should leave with a clear, modern written care plan.
Joseph Rotella

What the Front Office Taught Me About Patient Education
At our clinic, the step between the physician’s conversation and the patient’s dinner table often passes through the front desk.
Joseph Rotella