Business of OMT: The Osteopathic SOAP note

1. Business of OMT:The Osteopathic SOAP note PdTF III Curriculum Katie Dickey OMS III PdTF IV Principles of Instructional Design kdickey@westernu.edu

2. 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.

3. SOAP • Subjective • Objective • Assessment • Plan

4. SOAP • Subjective • Patient history: OPQRST • Medications/Allergies • Past Medical History • Past Surgical History • Family History • Social History • Review of Systems • Objective • Assessment • Plan

5. SOAP • Subjective • Objective • Vital Signs • Physical Exam • Osteopathic Structural Exam • Specific exam findings. • Assessment • Plan

6. SOAP • Subjective • Objective • Assessment • Diagnosis • Ie. Somatic Dysfunction & what regions • Plan

7. SOAP • Subjective • Objective • Assessment • Plan • Treatment • Ie. What OMT techniques you used, follow-up, lifestyle changes recommended

8. Insert image of soap note.

11. Any questions?