About this course

This course focuses on the essentials of good medical records, including how to avoid common deficiencies, use a SOAP-like format, and maintain a cumulative patient profile.

    1. Good record keeping in a busy office

    2. Learning objectives

    3. The College and the Physician Practice Enhancement Program

    4. The SOAP method

    5. The cumulative patient profile (CPP)

    6. The complete physical examination (CpX) or periodic health assessment (PHA)

    7. Counselling and psychotherapy

    8. Chronic conditions

    9. Other contexts

    10. Errors and abbreviations

    11. Putting it all together

    12. Feedback

Medical Record Keeping 201

  • Free
  • 12 lessons
  • 15–20 minutes
  • 0.25 Mainpro+® credits or 0.25 MOC hours

Accreditation

The Division of Continuing Professional Development, University of British Columbia Faculty of Medicine (UBC CPD) is fully accredited by the Continuing Medical Education Accreditation Committee (CACME) to provide CPD credits for physicians. This activity is an Accredited Self-Assessment Program (Section 3) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by UBC CPD. You may claim a maximum of 0.25 hours (credits are automatically calculated). This one-credit-per-hour Assessment program meets the certification criteria of the College of Family Physicians of Canada and has been certified by UBC CPD for up to 0.25 Mainpro+® credits. Each physician should claim only those credits accrued through participation in the activity.
CFPC Session ID: 202563-002
SAP ID: 16453