Modified SOAP to Help Students Practice High-Value, Cost-Conscious Care

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Modified SOAP to Help Students Practice High-Value, Cost-Conscious Care
Modified SOAP to Help Students Practice High-Value, Cost-Conscious Care

(HealthDay News) — Modification of the traditional Subjective-Objective-Assessment-Plan (SOAP) presentation to consider value (SOAP-V) can help medical students learn to practice high-value, cost-conscious care, according to a study published in the Journal of Hospital Medicine.

In an effort to promote discussion of high-value, cost-conscious patient care, Eileen M. Moser, MD, from the Milton S. Hershey Medical Center in Pennsylvania, and colleagues modified the traditional SOAP presentation to include a discussion of value. 

The SOAP-V model prompts students to contemplate the evidence that supports a test or treatment; patient preferences and values; and the costs associated with a given test/treatment compared with alternatives. The tool was successfully implemented in three medical schools. During patient care rounds, the students reported their findings to the team.

Based on preliminary results, students trained in SOAP-V felt more empowered to address the economic healthcare crisis, the researchers noted. In addition, they reported being more comfortable starting discussions relating to value of care and were more likely to think about potential costs to the healthcare system.

"We envision that the SOAP-V is a tool by which ideas concerning high-value care can be generated and shared at the point of care," the researchers wrote. "It is our hope that this straightforward intervention is one that may slowly change the culture and perhaps eventually the practice patterns of our academic medical centers."


  1. Moser EM, Huang GC, Packer CD, et al. SOAP-V: Introducing a method to empower medical students to be change agents in bending the cost curve. J Hosp Med. 2015;doi:10.1002/jhm.2489.
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