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Business of OMT: The Osteopathic SOAP note . PdTF III Curriculum Katie Dickey OMS III PdTF IV Principles of Instructional Design kdickey@westernu.edu. Objectives. PdTF III will be able to accurately describe the four sections of a SOAP note by the end of the lecture.
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Business of OMT:The Osteopathic SOAP note PdTF III Curriculum Katie Dickey OMS III PdTF IV Principles of Instructional Design kdickey@westernu.edu
Objectives • PdTF III will be able to accurately describe the four sections of a SOAP note by the end of the lecture. • PdTF III will be able to accurately document structural exam findings on an osteopathic SOAP note • PdTF III will be able to correctly document an assessment and plan for an osteopathic SOAP note by the end of the lecture.
SOAP • Subjective • Objective • Assessment • Plan
SOAP • Subjective • Patient history: OPQRST • Medications/Allergies • Past Medical History • Past Surgical History • Family History • Social History • Review of Systems • Objective • Assessment • Plan
SOAP • Subjective • Objective • Vital Signs • Physical Exam • Osteopathic Structural Exam • Specific exam findings. • Assessment • Plan
SOAP • Subjective • Objective • Assessment • Diagnosis • Ie. Somatic Dysfunction & what regions • Plan
SOAP • Subjective • Objective • Assessment • Plan • Treatment • Ie. What OMT techniques you used, follow-up, lifestyle changes recommended