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In this tutorial, Dr. Decide from Osmosis discusses how to write an effective clinical note, specifically focusing on the SOAP note format. SOAP stands for Subjective, Objective, Assessment, and Plan. The Subjective section includes the patient's statements, while Objective encompasses findings from physical examinations, labs, or imaging. The Assessment details the clinician's thought process about the diagnosis, and the Plan outlines next steps in patient care. Dr. Decide intends to share his top three tips for creating a quality SOAP note, emphasizing the format's universality and importance in clinical documentation.
