EMR documentation

How to Write a Concise, High-Quality Dermatology Note
Dermatology notesWe are taught early in medical school about the SOAP note as the scaffolding for our documentation. In case you need a quick refresher, SOAP stands for Subjective, Objective, Assessment, and Plan. A good note should capture all four components. As a quick recap: Subjective: The patient’s history, including the history of present illness and chief complaint, relevant medical and sur …
Dermatology notes