How to Write a Concise, High-Quality Dermatology Note
We 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 …
We 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 … Continue reading "How to Write a Concise, High-Quality Dermatology Note"
This article provides practical pearls for performing full body skin exams as shared by a panel of dermatology nurse practitioners (NPs) and physician assistants (PAs) during the 2022 DERM NP/PA CME conference.
Let’s Start with the Basics
What happens before we enter the room?
Before entering the room, it’s always best to:
Review the patient’s chart for pertinent medical hist …