Medical Record Keeping
Course Overview
The medical record facilitates good care. With contemporaneous documentation of patient encounters, the reflection and review can reinforce the consistency, completeness and quality of your clinical activities. This program aims to address sufficient documentation, which is central to patient safety and continuity of quality care. Participants will learn how to appropriately document patient encounters following the Subjective Objective Assessment Plan (SOAP) format.
Course Schedule - Workshop
Registration
This course is offered ONLINE multiple times per year.
Workshops are usually held on Friday afternoons.
Following confirmation of your registration, you will receive instructions on how to access the online self-learning pre-workshop activity, which is available for you to complete at any time prior to the workshop.
Course fee: $799 + GST
Contact
Brenda Pederson, Physician Services Coordinator
Course Objectives
At the end of this course, learners will be equipped to:
- recognize the general principles and multiple purposes of medical record documentation
- identify the elements and characteristics of appropriate documentation of patient encounters
- use the SOAP-based tool to self-evaluate and improve the practice of documenting patient encounters
- practice effective written communication of referral or consult letters
Credits
CFPC
COURSE GROUP ACTIVITY
MAINPRO+ GROUP LEARNING
This three-credit-per-hour Group Learning program meets the certification criteria of The College of Family Physicians of Canada and has been certified by the University of Calgary Office of Continuing Medical Education and Professional Development for up to 30.0 Mainpro+ credits.
RCPSC
MOC SECTION 3 SELF-ASSESSMENT PROGRAM
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 University of Calgary Office of Continuing Medical Education and Professional Development. You may claim a maximum of 10.0 hours (credits are automatically calculated).
Course Format
Participants will complete a series of learning activities:
- Online self-learning pre-workshop activity
- Workshop
- Online post-workshop activity
- Webinar
Completion of the online self-learning activity is the prerequisite for attending the workshop and the webinar.
Faculty and Planning Committee
Faculty
Executive Director, Foundations for Medical Practice Education, Assistant Dean, Personalized Learning, Office of Continuing Medical Education and Professional Development, Cumming School of Medicine, University of Calgary
Disclosure
-
Research Director for The Foundations for Medical Practice Education
-
Received research grant for The Foundations for Medical Practice Education
Nothing to disclose
Nothing to disclose
Nothing to disclose
Planning Committee
Executive Director, Foundations for Medical Practice Education, Assistant Dean, Personalized Learning, Office of Continuing Medical Education and Professional Development, Cumming School of Medicine, University of Calgary
Disclosure
- Research Director for The Foundations for Medical Practice Education
- Received research grant for The Foundations for Medical Practice Education
Assistant Registrar and Complaints Director, College of Physicians and Surgeons of Alberta
Nothing to disclose
Clinical Assistant Professor, Section Chief Community Primary Care, Department of Family Medicine – Calgary Zone
Nothing to disclose
Senior Medical Advisor, College of Physicians and Surgeons of Alberta
Nothing to disclose
Associate Clinical Professor, Department of Cardiac Sciences and Medicine, Libin Cardiovascular Institute of Alberta; Assistant Dean Pre-Clerkship, Undergraduate Medical Education, University of Calgary
Nothing to disclose
Education Consultant, Office of Continuing Medical Education and Professional Development, Cumming School of Medicine, University of Calgary
Disclosure:
- Direct financial payments, gifts, in-kind compensation or honoraria: HAnalytics Solutions Inc. - Employee (Role: Sr. Medical Science Liaison); Fresh Squeezed Ideas Inc - Employee (Role: Sr. Innovation Strategist); University of Calgary employee