Remember that you are generally known in medicolegal circles only for how you appear on paper. In addition to software spell checkers and manual proofreading, you can also use grammar checking software to pinpoint problems in writing style. I also suggest keeping a little book on grammar and punctuation handy. When questions arise as to the correct use of the colon, for example, look it up. This is one of the big ones.
Subject headings are frequently unclear or missing.
The doctor frequently goes off on tangents, providing extraneous, and frequently gratuitous and long-winded discussions of pathophysiology. These excursions are rarely helpful and more often make the doctor appear to be a patient advocate rather than an objective care provider interested only in getting the patient well. Remember, your reader has precious little time to read your report. Look for redundancy and eliminate it. Simplify your writing.