SOAP Methodology in General Practice/Family Medicine Teaching in Practical Context
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Data de Publicação: | 2016 |
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Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405 |
Resumo: | Introduction: Medical records in General Practice/Family Medicine are an essential information support on the health status of the patient and a communication document between health professionals. The development of competencies in General Practice/Family Medicine during pre-graduation must include the ability to make adequate medical records in practical context. As of 2012, medicine students at the University of Beira Interior have been performing visits using the Subjective, Objective, Assessment and Plan - SOAP methodology, with a performance evaluation of the visit, with the aim to check on which Subjective, Objective, Assessment and Plan - SOAP aspects students reveal the most difficulties in order to define improvement techniques and to correlate patient grade with tutor evaluation.Material and Methods: Analysing the evaluation data for the 2015 - 2016 school year at the General Practice/Family Medicine visit carried out by fourth year students in medicine, comparing the averages of each item in the Subjective, Objective, Assessment and Plan - SOAP checklist and the patient evaluation.Results: In the Subjective, Objective, Assessment and Plan - SOAP, 29.7% of students are on the best grade quartile, 37.1% are on the best competencies quartile and 27.2% on the best patient grade quartile. ‘Evolution was verified/noted’ received the worst grades in Subjective, ‘Record of physical examination focused on the problem of the visit’ received the worst grades in Objective, ‘Notes of Diagnostic reasoning / differential diagnostic’ received de worst grades in Assessment and ‘Negotiation of aims to achieve’ received the worst grades in Plan. The best tutor evaluation is found in ‘communication’.Discussion: Only one single study evaluated student´s performance under examination during a visit, with similar results to the presentone and none addressed the patient’s evaluation.Conclusion: Students revealed a good performance in using the Subjective, Objective, Assessment and Plan - SOAP. The findings represent the beginning of the introduction of the Subjective, Objective, Assessment and Plan - SOAP to the students. This evaluationbreaks ground towards better ways to teach the most difficult aspects. |
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SOAP Methodology in General Practice/Family Medicine Teaching in Practical ContextMetodologia SOAP na Formação da Medicina Geral e Familiar em Contexto PráticoClinical CompetenceCurriculumEducationMedical/methodsFamily PracticePatient Care PlanningProblem-Based LearningPortugalAprendizagem Baseada em ProblemasCompetência ClínicaCurrículoEducação Médica/métodosMedicina Geral e FamiliarPlaneamento de Assistência ao DoentePortugalIntroduction: Medical records in General Practice/Family Medicine are an essential information support on the health status of the patient and a communication document between health professionals. The development of competencies in General Practice/Family Medicine during pre-graduation must include the ability to make adequate medical records in practical context. As of 2012, medicine students at the University of Beira Interior have been performing visits using the Subjective, Objective, Assessment and Plan - SOAP methodology, with a performance evaluation of the visit, with the aim to check on which Subjective, Objective, Assessment and Plan - SOAP aspects students reveal the most difficulties in order to define improvement techniques and to correlate patient grade with tutor evaluation.Material and Methods: Analysing the evaluation data for the 2015 - 2016 school year at the General Practice/Family Medicine visit carried out by fourth year students in medicine, comparing the averages of each item in the Subjective, Objective, Assessment and Plan - SOAP checklist and the patient evaluation.Results: In the Subjective, Objective, Assessment and Plan - SOAP, 29.7% of students are on the best grade quartile, 37.1% are on the best competencies quartile and 27.2% on the best patient grade quartile. ‘Evolution was verified/noted’ received the worst grades in Subjective, ‘Record of physical examination focused on the problem of the visit’ received the worst grades in Objective, ‘Notes of Diagnostic reasoning / differential diagnostic’ received de worst grades in Assessment and ‘Negotiation of aims to achieve’ received the worst grades in Plan. The best tutor evaluation is found in ‘communication’.Discussion: Only one single study evaluated student´s performance under examination during a visit, with similar results to the presentone and none addressed the patient’s evaluation.Conclusion: Students revealed a good performance in using the Subjective, Objective, Assessment and Plan - SOAP. The findings represent the beginning of the introduction of the Subjective, Objective, Assessment and Plan - SOAP to the students. This evaluationbreaks ground towards better ways to teach the most difficult aspects.Introdução: Os registos clínicos em Medicina Geral e Familiar são suporte de informação sobre o estado do consulente e forma de comunicação entre profissionais de saúde. O desenvolvimento de competências em Medicina Geral e Familiar em pré-graduação deve incluir a capacidade de efetuar estes registos de forma adequada no contexto da prática clínica. Os estudantes de medicina da Universidade da Beira Interior têm realizado desde 2012 consulta com a metodologia Subjectivo, Objectivo, Avaliação e Plano - SOAP com avaliação de desempenho na consulta pretendendo-se verificar em que aspetos da metodologia Subjectivo, Objectivo, Avaliação e Plano - SOAP os alunos revelam maiores dificuldades para definir técnicas de melhoria e correlacionar a nota do consulente com a avaliação do tutor.Material e Métodos: Foram analisados os dados de avaliação do ano letivo de 2015-2016 na consulta de Medicina Geral e Familiar realizada por alunos do quarto ano de medicina, comparando as médias de cada item da grelha de avaliação em metodologia Subjectivo, Objectivo, Avaliação e Plano - SOAP e a Avaliação pelo consulente.Resultados: Na metodologia Subjectivo, Objectivo, Avaliação e Plano - SOAP estão no melhor quartil de nota 29,7% dos alunos, e na valorização de competências 37,1% estando 27,2% no melhor quartil de avaliação pelo consulente. Em Subjectivo, a pior nota verifica-separa ‘Foi verificada/anotada a evolução’, em Objectivo para ‘Há registo de exame físico orientado para o problema da consulta’, em Avaliação para ‘Há notas de raciocínio diagnóstico / Diagnóstico diferencial’ e em Plano para ‘Há negociação de objetivos a atingir’. A melhor avaliação pelo tutor regista-se para ‘Comunicação’.Discussão: Só um estudo em Portugal avaliou os resultados da prestação do aluno em exame em consulta, com resultados similares,não havendo publicações quanto à avaliação pelo consulente.Conclusão: Os alunos revelaram bom desempenho na utilização da metodologia Subjectivo, Objectivo, Avaliação e Plano - SOAP. Osresultados encontrados representam o início do treino na metodologia Subjectivo, Objectivo, Avaliação e Plano - SOAP pelos alunos. Esta avaliação abre pistas sobre como melhor ensinar os aspetos com maiores dificuldades.Ordem dos Médicos2016-12-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405oai:ojs.www.actamedicaportuguesa.com:article/8405Acta Médica Portuguesa; Vol. 29 No. 12 (2016): December; 854-859Acta Médica Portuguesa; Vol. 29 N.º 12 (2016): Dezembro; 854-8591646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/4870https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/4854https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/8859https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/8927https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/8971Direitos de Autor (c) 2016 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessSantiago, Luiz MiguelNeto, Isabel2022-12-20T11:05:31Zoai:ojs.www.actamedicaportuguesa.com:article/8405Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:35.485185Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
SOAP Methodology in General Practice/Family Medicine Teaching in Practical Context Metodologia SOAP na Formação da Medicina Geral e Familiar em Contexto Prático |
title |
SOAP Methodology in General Practice/Family Medicine Teaching in Practical Context |
spellingShingle |
SOAP Methodology in General Practice/Family Medicine Teaching in Practical Context Santiago, Luiz Miguel Clinical Competence Curriculum Education Medical/methods Family Practice Patient Care Planning Problem-Based Learning Portugal Aprendizagem Baseada em Problemas Competência Clínica Currículo Educação Médica/métodos Medicina Geral e Familiar Planeamento de Assistência ao Doente Portugal |
title_short |
SOAP Methodology in General Practice/Family Medicine Teaching in Practical Context |
title_full |
SOAP Methodology in General Practice/Family Medicine Teaching in Practical Context |
title_fullStr |
SOAP Methodology in General Practice/Family Medicine Teaching in Practical Context |
title_full_unstemmed |
SOAP Methodology in General Practice/Family Medicine Teaching in Practical Context |
title_sort |
SOAP Methodology in General Practice/Family Medicine Teaching in Practical Context |
author |
Santiago, Luiz Miguel |
author_facet |
Santiago, Luiz Miguel Neto, Isabel |
author_role |
author |
author2 |
Neto, Isabel |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Santiago, Luiz Miguel Neto, Isabel |
dc.subject.por.fl_str_mv |
Clinical Competence Curriculum Education Medical/methods Family Practice Patient Care Planning Problem-Based Learning Portugal Aprendizagem Baseada em Problemas Competência Clínica Currículo Educação Médica/métodos Medicina Geral e Familiar Planeamento de Assistência ao Doente Portugal |
topic |
Clinical Competence Curriculum Education Medical/methods Family Practice Patient Care Planning Problem-Based Learning Portugal Aprendizagem Baseada em Problemas Competência Clínica Currículo Educação Médica/métodos Medicina Geral e Familiar Planeamento de Assistência ao Doente Portugal |
description |
Introduction: Medical records in General Practice/Family Medicine are an essential information support on the health status of the patient and a communication document between health professionals. The development of competencies in General Practice/Family Medicine during pre-graduation must include the ability to make adequate medical records in practical context. As of 2012, medicine students at the University of Beira Interior have been performing visits using the Subjective, Objective, Assessment and Plan - SOAP methodology, with a performance evaluation of the visit, with the aim to check on which Subjective, Objective, Assessment and Plan - SOAP aspects students reveal the most difficulties in order to define improvement techniques and to correlate patient grade with tutor evaluation.Material and Methods: Analysing the evaluation data for the 2015 - 2016 school year at the General Practice/Family Medicine visit carried out by fourth year students in medicine, comparing the averages of each item in the Subjective, Objective, Assessment and Plan - SOAP checklist and the patient evaluation.Results: In the Subjective, Objective, Assessment and Plan - SOAP, 29.7% of students are on the best grade quartile, 37.1% are on the best competencies quartile and 27.2% on the best patient grade quartile. ‘Evolution was verified/noted’ received the worst grades in Subjective, ‘Record of physical examination focused on the problem of the visit’ received the worst grades in Objective, ‘Notes of Diagnostic reasoning / differential diagnostic’ received de worst grades in Assessment and ‘Negotiation of aims to achieve’ received the worst grades in Plan. The best tutor evaluation is found in ‘communication’.Discussion: Only one single study evaluated student´s performance under examination during a visit, with similar results to the presentone and none addressed the patient’s evaluation.Conclusion: Students revealed a good performance in using the Subjective, Objective, Assessment and Plan - SOAP. The findings represent the beginning of the introduction of the Subjective, Objective, Assessment and Plan - SOAP to the students. This evaluationbreaks ground towards better ways to teach the most difficult aspects. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-12-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405 oai:ojs.www.actamedicaportuguesa.com:article/8405 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/8405 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/4870 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/4854 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/8859 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/8927 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8405/8971 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2016 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 29 No. 12 (2016): December; 854-859 Acta Médica Portuguesa; Vol. 29 N.º 12 (2016): Dezembro; 854-859 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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