I am looking for samples of podiatry notes typed in SOAP format. sm

• I am looking for samples of podiatry notes typed in SOAP format. sm - Jan

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or is it common to transcribe headings within a SOAP report? For example, a SOAP report with a PE section?

Thanks in advance!

Yes that is correct they are chart or clinical notes.  The dentist that I used to work for liked the charts written up in that fashion.

S- subjective

O- objective

A- assessment

P- plan

I may sound dumb, but what is a SOAP note??

Some of my docs use the SOAP  -see below, all broken down into these paragrahs with headings.

S: (subjective)

O: (objective/physical)

A: (assessment)

P: (plan)

Others, my surgical oncology docs, just dictate and I put them in paragraph form and no headings.   Also I have one that does the S and O and then puts his Assesment and Plan in one paragraph.  

Hope that helps.  Patti

Could someone explain the difference between an office note and a SOAP note when doing transcribing for a specialty doctor. Thanks.

Does anyone know of any companies out there hiring for podiatry or orthopedics? Thanks

Email Sharon at:  Jobs@Transcriptionoutsourcing.com.  She has just acquired a brand new ortho account.  She is based in Milwaukee, I think, and hiring at-homers. 

I am looking for a podiatry account.  My daughter did podiatary for over five years and she is willing to help me with the terminology. 

Also, is there a universal foot pedal that works with most medical transcription accounts?  I have Spantel, but I am not sure if there are many accounts that use that program.

Thanks for any input and help.

A good site for podiatry would be

http://www.prenhall.com/medtransoriginal/wordlist/podiatry.htm

and I do not see one on the stedmans.com unless podiatry is rolled in with another specialty and I'm just missing it. Any recommendations?

Thanks bunches and happy MT week!

n

I am the poster accused of holding MY normals hostage.  Cleaned off the sample and just left in headings.  And this was a sample with a table in it and I omitted that even.  Then I sent the doc.  But again, all they had to do was make a copy of a done job and that would have been the end of it.  The only thing, I don't think this person was ever smart enough to figure that out.  lol.  

I have my my own account of three OB-GYNs that use a SOAP sheet type heading on a regular piece of paper. It takes up about 2.5" on the top of the first page of each patient note. It is paper that is purchased from a printing company and they write in the patient's name, vitals, LMP, type of contraception, etc. in the appropriate areas. I have my margins set so I start typing under this info. The problem I have had is these sheets will jam up in any of the three printers I have and I just bought a new all-in-one printer and these sheets will actually get so stuck I have to tear them out of my printer! I know it is because they have been handled, written on, sometimes have corners folded, etc. I normally have a second page I print and sometimes even a third, and I print all the notes at one time or it would take me forever to print out their transcription as I normally have 30-40 pages from each doc! I even made sure the paper I purchased for second, third pages is the same weight as this SOAP heading sheet and it makes no difference. It does not jam with every first page/header page, but it does it on average at least three times while I am printing out one doc's work. This wastes a lot of my time, is frustrating, and I feel it is going to ruin my printer/roller bar with it jamming so badly.

When I spoke with the OM, she said they would quit sending these SOAP sheets with the info on them and then they would just add them to the patient's chart as the first page after I return the transcription. However, I just received a message when I returned home that the docs are not happy with this and do not want it done this way.

When I met with the OM, she said they can change this pre-printed "form" to a half page (which will save them money). I am not exactly sure why they do not like the way things have been changed other than this pertinent info is no longer directly on that first page of the patient's note.

Does anyone have ANY suggestions as to what I could do that they might agree to? I know I had mentioned to the OM when I met with her (to discuss going digital) that perhaps they could use the same form on a half page or even smaller as a label to adhere to the patient note and she said "no way"! They will NOT use adhesive anything. I need to resolve this problem TODAY so sure would appreciate some suggestions/feedback.

TIA.

For those of you who transcribe SOAP notes, do you capitalize each word in the diagnosis?  I have seen it both ways, and I was not sure if there is a rule to this. 

DX:  Low Back Pain. 

DX:  Low back pain.

Thank you!

Does anyone know of a web site with surgical report samples and EMG reports?  I've searched google for hours and can only find informartion ABOUT them, not actual reports....

Thanks for ANY help!