Medical Record Keeping Cohort 4

Medical Record Keeping Cohort 4 is organized by University of Calgary Office of Continuing Medical Education and Professional Development (CME & PD) and will be held from Mar 14 - Jun 19, 2025.

Date:                
March 14, 2025: 1 - 4 pm MT
June 19, 2025: 6 - 7 pm MT

Description:
The medical record facilitates good care. With contemporaneous documentation of patient encounters, the reflection and review can reinforce the consistency, completeness and quality of your clinical activities. This program aims to address sufficient documentation, which is central to patient safety and continuity of quality care. Participants will learn how to appropriately document patient encounters following the Subjective Objective Assessment Plan (SOAP) format.

Course Objectives:
At the end of this course, learners will be equipped to:

• Recognize the general principles and multiple purposes of medical record documentation
• Identify the elements and characteristics of appropriate documentation of patient encounters
• Use the SOAP-based tool to self-evaluate and improve the practice of documenting patient encounters
• Practice effective written communication of referral or consult letters