Offering step by step guidance on how to properly document patient care, this updated Second Edition presents 90 of the most common clinical problems encountered on the wards and clinics in an easy to read, two page layout using the familiar “SOAP” note format. Emphasizing the patient’s clinical problem, not the diagnosis, this pocket sized quick reference teaches both clinical reasoning and documentation skills and is ideal for use by medical students, Pas, and NPs during the Family Medicine rotation.
