Schryer discusses medical recordkeeping as a genre that reflects and influences the medical field's ideology. The records serve as an indicator of relevant ideas and what the field values. We observe how the development of the genre shifted how the students observational styles and recordkeeping.
The genre topic serves as a parallel to rhetoric and modes. All concepts are dynamic in an evolving world and reflect the needs of the group that utilizes them. Thus, we also know that rhetoric and modes have the ability to reflect and influence our own ideologies.