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In this video tutorial, Dr. Decide from Osmosis discusses how to write a high-quality progress note or clinical note, specifically focusing on the SOAP format: Subjective, Objective, Assessment, and Plan. The Subjective section includes information provided by the patient, while the Objective section contains findings from physical exams, labs, or imaging. The Assessment involves the clinician’s thought process regarding the patient's condition, and the Plan outlines the next steps in management. Dr. Decide aims to provide valuable tips for writing effective notes, emphasizing the importance of each component in ensuring clarity and coherence in clinical documentation.
