The "SOAP" -- subjective, objective, assessment, plan -- format has been in common use for decades as a way of organizing physician progress notes in medical records, but it was created during a ...

Physicians’ style of note-taking could affect the quality of care they provide, according to a study published in the Journal of the American Medical Informatics Association. The study examined ...

With an influx of data available at providers’ fingertips, they can readily share information with patients. Many in the medical community advocate for note sharing as healthcare becomes increasingly ...

When reading electronic notes in patients’ electronic medical records, physicians focus mostly on the “Impression and Plan” section and have a tendency to skim the sections covering medications, vital ...

Add Yahoo as a preferred source to see more of our stories on Google. When Dr. David Wallace graduated from medical school in 1995, every visit note, prescription and lab request had to be written by ...

When Jeannine Urban went in for a checkup in November, she had her doctor's full attention. Instead of typing on her computer ...