{"id":18980,"date":"2019-09-01T14:49:31","date_gmt":"2019-09-01T19:49:31","guid":{"rendered":"http:\/\/www.kaptest.com\/blog\/prep\/?p=18980"},"modified":"2020-09-11T20:41:03","modified_gmt":"2020-09-11T20:41:03","slug":"what-m3s-need-to-know-for-soap-oral-presentations","status":"publish","type":"post","link":"https:\/\/wpapp.kaptest.com\/study\/usmle\/what-m3s-need-to-know-for-soap-oral-presentations\/","title":{"rendered":"What M3s Need to Know for SOAP Oral Presentations"},"content":{"rendered":"<p>Facing\u00a0SOAP\u00a0oral presentations may cause a number of symptoms in the uninitiated M3: racing heart, rollercoaster gut, and sweaty palms. As with many first-time\u00a0experiences you\u2019ll encounter in your third year, preparation goes a long way toward surviving SOAP oral presentations.<br \/>\nBut first, let\u2019s make sure we\u2019re clear on an important point.<br \/>\n&nbsp;<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-0  el_before_av_heading  avia-builder-el-first  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >SOAP presentations and notes vs. the other SOAP<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nAs a med student, you\u2019ll hear about two different SOAPs. One involves\u00a0<a href=\"http:\/\/www.nrmp.org\/residency\/soap\/\" target=\"_blank\" rel=\"noopener noreferrer\">the Match\u00a0<\/a>and sometimes has\u00a0<a href=\"https:\/\/www.kaptest.com\/blog\/residency-secrets\/2016\/03\/02\/what-if-i-dont-match\/\" target=\"_blank\" rel=\"noopener noreferrer\">its own nerve-racking associations<\/a>. The SOAP we\u2019re referring to now, though, stands for a very useful note-taking format:<br \/>\nS \u2013 subjective (how the patient feels)<br \/>\nO \u2013 objective (vitals, physical exam, labs)<br \/>\nA \u2013 assessment (brief description of how the patient presented and a diagnosis)<br \/>\nP \u2013 plan (what will be done to treat the patient)<br \/>\nThe SOAP notes format is a standard method for giving patient information. You\u2019ll find it effective for both writing notes and presenting patients on rounds.<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-1  el_after_av_heading  el_before_av_heading  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >SOAP oral presentations on rounds<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nDuring your clerkship, at some point\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2642568\/\" target=\"_blank\" rel=\"noopener noreferrer\">you\u2019ll be expected to present<\/a>\u00a0a patient to discuss on rounds. You\u2019ll most likely present to nurses, residents, and attending physicians who are there to hear from you about what\u2019s going on with the patient. Knowing that, you\u2019ll want your information to be correct, well-organized, and concise. The SOAP format can help.<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-2  el_after_av_heading  el_before_av_promobox  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Subjective Notes<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nFor the subjective segment, lead with a one-sentence reminder of who your patient is. Give an overview of how your patient did overnight and anything major that may have happened since you last rounded.<br \/>\n\t<div  style='background:#c5c5c5;color:#ffffff;border-color:#c5c5c5;' class='av_promobox  avia-button-no   avia-builder-el-3  el_after_av_heading  el_before_av_heading '>\t\t<div class='avia-promocontent'><\/p>\n<div class='avia-iframe-wrap'><iframe width=\"1500\" height=\"844\" src=\"https:\/\/www.youtube.com\/embed\/chhoQQf6yZ4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div>\n<p>\n<\/div><\/div><br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-4  el_after_av_promobox  el_before_av_heading  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Objective Notes<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nOpen this segment by discussing vital signs, including blood pressure, pulse, respirations, temperature, and oxygen saturations. Next, present I\/Os: intakes and outputs. Give the total intake, followed by a breakdown. Then present your exam, and after that, give laboratory results. If there\u2019s something notable about the labs compared to the day before, make sure to point it out. Sometimes, there will be pertinent imaging that can be presented here as well.<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-5  el_after_av_heading  el_before_av_heading  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Assessment Notes<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nThis is essentially a wrap-up of the subjective and objective portion of the presentation, so you\u2019ll want to keep it brief. In fact, while on rounds, you might want to listen for the team\u2019s overall impression of the patient and put it into one sentence. The assessment is where you\u2019ll want to avoid too much repetition.<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h4  blockquote modern-quote  avia-builder-el-6  el_after_av_heading  el_before_av_heading  '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Plan Notes<\/h4><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\nHere\u2019s where you\u2019ll discuss what you\u2019re actually going to do for your patient. When it comes to the plan, it can be challenging to know how much detail to go into. One of the best things you can do is ask a resident to take a look at your plan, and then ask their advice on how much to present. It can save you time and frustration in the long run.<br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-7  el_after_av_heading  el_before_av_sidebar  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Final Tips<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><\/p>\n<ul>\n<li><b>Learn what your attendings prefer.<\/b>\u00a0When in doubt, ask your attendings on your first day how much detail they like in their presentations. Different attendings want you to present differently\u2014with some wanting you to go over your whole note in detail and others just wanting you to get to the point as quickly as possible.<\/li>\n<li><b>Keep your presentations brief.<\/b>\u00a0That may depend on just how much detail your attending wants. But generally, a concise and well-organized presentation means you\u2019ll want to shoot for about five minutes. Of course, answering questions may add more time, so be prepared for that.<\/li>\n<li><b>Don\u2019t forget to breathe.<\/b>\u00a0No doubt, presenting patients can be stressful at first. But that\u2019s where the SOAP format can help. Stick with that, take a deep breath, and over time you\u2019ll find yourself handling oral presentations like a pro.<\/li>\n<\/ul>\n\n","protected":false},"excerpt":{"rendered":"<p>Facing\u00a0SOAP\u00a0oral presentations may cause a number of symptoms in the uninitiated M3: racing heart, rollercoaster gut, and sweaty palms. As with many first-time\u00a0experiences you\u2019ll encounter in your third year, preparation goes a long way toward surviving SOAP oral presentations. But first, let\u2019s make sure we\u2019re clear on an important point. &nbsp; As a med student, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":28588,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[145],"tags":[157],"_links":{"self":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/18980"}],"collection":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/comments?post=18980"}],"version-history":[{"count":3,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/18980\/revisions"}],"predecessor-version":[{"id":34555,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/18980\/revisions\/34555"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media\/28588"}],"wp:attachment":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media?parent=18980"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/categories?post=18980"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/tags?post=18980"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}