Bedside ultrasound, also known as point-of-care ultrasound (POCUS), is becoming increasingly relied upon in the medical field. Medical providers rely on POCUS to diagnose disease, monitor progress and perform…
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September 24, 2021
June 25, 2021
What can I do for you today? What seems to be the problem? How can I help? These are all common ways providers start their encounters. The first few…
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June 18, 2021
The assessment and plan section of the medical SOAP note is perhaps the most important section of the SOAP note. A well-constructed assessment and plan section usually takes the…
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June 15, 2021
The assessment and plan section of the medical soap note is perhaps the most important section of the SOAP note. A well-constructed assessment and plan section usually takes the…
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May 24, 2021
The ideal Medical SOAP Note will contain objective information that is clear and concise. As its name implies, the objective portion of the SOAP note contains the objective data…
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March 12, 2021
The Progress Note Appropriately named, the progress note details the patient’s condition and how it has changed since the most recent documentation. This note is generally brief. Comprehensive assessment…
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March 8, 2021
Chest Pain: Lub dub and more This is one of the most feared chief complaints by patients and providers alike. The differential diagnosis for this complaint includes myocardial infarction,…
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March 5, 2021
The SOAP Note – Subjective The structure of the SOAP note is emphasized in its name. It stands for subjective, objective, assessment and plan. The SOAP note format has…
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March 4, 2021
The Annual Physical Sometimes called the “wellness physical”, this encounter is a time to focus on the big picture. It is a time to step back and consider the…
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February 25, 2021
Templates are meant to accomplish the tasks that are performed over and over. If you find yourself saying “I always tell patients…”, then there is probably an opportunity for a template. Obviously, there is nuance to every patient encounter. However, building templates that accommodate these nuances maximizes their efficiency. Let’s take a look at how to build a template to accommodate the nuances of medicine.
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