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A pilot study on the evaluation of medical student documentation: assessment of SOAP notes
32
Zitationen
7
Autoren
2016
Jahr
Abstract
Our results showed that third-year medical students' SOAP notes were not complete, appropriate, or accurate. The most significant problems with completeness were the omission of students' signatures, and inappropriate documentation of the physical examinations conducted. An education and assessment program for complete and accurate medical recording has to be developed.
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