Today I had my physical diagnosis final. It involved examining a patient who has a fake complaint. The fake patient evaluated me on my interviewing skills and whether or not I did the correct exam... correctly.
Afterwards I had to write up a patient note. So I went into the second room to do that. I had all the info I was able to get from my patient visit, and I had to organize it into the SOAP format. I've done this several times before.
So I'm sitting there doing my patient note, and when I open up my mini-notebook to get all the notes, out falls my cheat sheet.
Relax, I did NOT make a cheat sheet. Actually the school gave it to us (in English and Spanish). It has everything you have to do in a physical exam... pretty much in the SOAP note format.
We've always been allowed to use them, and I can't make up any information I didn't get from the patient. So I looked at the subjective part, saw that I had asked everything I was supposed to... and I went ahead and finished up my note.
Did I cheat? Maybe I did. I don't know if I'd blog about it otherwise.
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