Grand Round

Grand Round Order Description presentation must include: • Three learning objectives that must be clearly written and presented • A complete SOAP on the approved template • An extended SOAP note • At least five test questions (such as multiple choice and/or matching) designed to asses mastery of the learning objectives • A minimum of five scholarly resources Complete Soap Note template The following outlines should be included in the extended SOAP note: I. SOAP Evaluation 1. Sign and symptoms/Clinical presentation of disease process a. How did your patient present: include history 2. Diagnostic workup: both typical and what was done with your patient a. Physical findings b. Testing c. Imaging studies 3. Differential Diagnosis a. Minimum of 3 b. How did you rule in/rule out the diagnosis 4. Final Diagnosis a. What factors from your history and physical led to this diagnosis 5. Management a. Pharmacologic b. Non-pharmacologic 6. Education II. Disease Background 1. Anatomy 2. Etiology a. Risk factors 3. Pathophysiology a. Consequences: adult and Geriatric 4. Epidemiology a. Cultural, age, race, gender, US, International 5. Prognosis 6. Patient Education III. Treatment Evaluation 1. Approach considerations a. Guidelines and literature referenced 2. Complications 3. Health promotion and risk reduction 4. Medicolegal Concerns 5. Future Research needed 6. Consultation 7. Long term monitoring 8. Ethical and cultural consideration 9. Cost IV. Critical Reflection of interaction and investigation. V. Minimum of five test questions based on objectives and presentation.