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

Eileen M. Moser, Grace C. Huang, Clifford D. Packer, Susan Glod, Cynthia D. Smith, Patrick C. Alguire, Sara B. Fazio

Research output: Contribution to journalArticle

8 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)217-220
Number of pages4
JournalJournal of Hospital Medicine
Volume11
Issue number3
DOIs
StatePublished - Mar 1 2016

All Science Journal Classification (ASJC) codes

  • Leadership and Management
  • Internal Medicine
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

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