The Systems SOAP Note: A Systems Learning Tool.


Journal Article

Systems-based practice (SBP) is the only Accreditation Council for Graduate Medical Education (ACGME) competency concerned with public health and is relatively neglected in residency curricula. A tool was developed and pilot-tested to improve SBP learning on inpatient psychiatry rotations.A four-step approach was used: (1) literature review, (2) expert consultation, (3) tool development, and (4) pilot testing on four cases and evaluation for completion time and preliminary efficacy.Out of 51 SBP articles, six (12%) focused on psychiatric residency programs, and none had a practical SBP learning tool. The "systems SOAP (subjective, objective, assessment, plan) note" (S-SOAP) was structured after a clinical SOAP note and was easy to use (mean completion time = 60 min), and residents self-reported more insight into systems issues.The S-SOAP tool was effectively integrated into clinical experience and provided insight into systemic complexities. Future research should assess SBP knowledge acquisition after the use of such tools.

Full Text

Cited Authors

  • Mitsuishi, F; Young, JQ; Leary, M; Dilley, J; Mangurian, C

Published Date

  • February 2016

Published In

Volume / Issue

  • 40 / 1

Start / End Page

  • 164 - 171

PubMed ID

  • 24838822

Pubmed Central ID

  • 24838822

Electronic International Standard Serial Number (EISSN)

  • 1545-7230

International Standard Serial Number (ISSN)

  • 1042-9670

Digital Object Identifier (DOI)

  • 10.1007/s40596-014-0128-5


  • eng