Design and application of clinical probation log based on subjective-objective-assessment-plan
Objective To investigate the application value of a new clinical probation log designed based on the subjective-objective-assessment-plan(SOAP)structured medical record.Methods Quantitative and qualitative studies were conducted among 97 students in the autumn semester to evaluate the effect of the new clinical probation log based on the SOAP structured medical record on their academic performance and clinical thinking.SPSS 26.0 was used to perform the t-test and ANOVA.Results The students using the new version had a significantly better score(96.29±1.38)than those using the old version(93.53±1.60)(P<0.001),while the multivariate analysis showed that the students who first used the old version and then switched to the new version had a significantly better improvement in the score compared with those who first used the new version and then switched to the old version(P<0.001).The qualitative interview showed that it was necessary to use handwritten internship log,and compared with the old version,the new version could better promote the ordered clinical thinking of students.The teacher comments could give feedbacks,and all the students interviewed thought that the new version held promise for clinical application.Conclusions The clinical probation log based on the SOAP structured medical record can help to improve the effectiveness of probation and cultivate clinical thinking ability,and thus it holds promise for application in clinical probation teaching.