 | Does the student follow the SOAP format? |
| Does the student correctly organize the data? |
| Is the data in the note sufficient to address the chief complaint? |
| Is there extraneous material? |
| Are pertinent negatives adequately documented? |
| Is the assessment consistent with the subjective and objective data?
| Student notes should include a discussion of the decision making
process |
|
| Plan should be consistent with assessment.
| Include patient education and follow up |
| Include any medications with dosage |
| Include plans for further evaluation if indicated |
|
| Explain and include any observations about data that might not have
been obtained during the encounter but that the student, in retrospect,
would consider important.
| It would be wise to be prospective and get the information at the
time of the encounter. |
| Select a patient that you feel you did your best job on. |
|
