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J Hosp Med. 2016 Mar;11(3):217-20. doi: 10.1002/jhm.2489. Epub 2015 Sep 28.

SOAP-V: Introducing a method to empower medical students to be change agents in bending the cost curve.

Author information

1
Department of Medicine, Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania.
2
Shapiro Institute for Education and Research, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
3
Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
4
Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio.
5
American College of Physicians, Philadelphia, Pennsylvania.

Abstract

Medical students must learn how to practice high-value, cost-conscious care. By modifying the traditional SOAP (Subjective-Objective-Assessment-Plan) presentation to include a discussion of value (SOAP-V), we developed a cognitive forcing function designed to promote discussion of high-value, cost-conscious care during patient delivery. The SOAP-V model prompts the student to consider (1) the evidence that supports a test or treatment, (2) the patient's preferences and values, and (3) the financial cost of a test or treatment compared to alternatives. Students report their findings to their teams during patient care rounds. This tool has been successfully used at 3 medical schools. Preliminary results find that students who have been trained in SOAP-V feel more empowered to address the economic healthcare crisis, are more comfortable in initiating discussions about value, and are more likely to consider potential costs to the healthcare system.

PMID:
26416013
DOI:
10.1002/jhm.2489
[Indexed for MEDLINE]

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