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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
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A repurposed tool: the Programme Evaluation SOAP Note.

Christopher B Reznich1, Dianne P Wagner, Mary M Noel

  • 1Office of Medical Education Research and Development, College of Human Medicine, Michigan State University, East Lansing, Michigan 48824, USA. reznich@msu.edu

Medical Education
|May 7, 2010
PubMed
Summary
This summary is machine-generated.

The Programme Evaluation SOAP Note helps educators evaluate medical curricula and systems, not just students. This method identified more curriculum and system issues than student performance problems.

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Area of Science:

  • Medical Education
  • Programme Evaluation
  • Healthcare Systems Analysis

Background:

  • The Subjective-Objective-Assessment-Plan (SOAP) note is a standard medical documentation format.
  • The Programme Evaluation SOAP Note adapts this format for broader educational assessment.
  • It aims to expand faculty perspectives on programme evaluation to include curriculum and system factors.

Purpose of the Study:

  • To adapt the SOAP note format for programme evaluation in medical education.
  • To assess its utility in organizing faculty interpretations of student performance.
  • To identify curriculum and system-related issues in medical training.

Main Methods:

  • The Subjective-Objective-Assessment-Plan (SOAP) note was modified into a "Programme Evaluation SOAP Note".
  • This adapted note was pilot-tested to organize faculty interpretations of student performances during an Objective Structured Clinical Examination (OSCE).

Main Results:

  • Eight faculty members utilized the Programme Evaluation SOAP Note during a Year 3 gateway examination.
  • The evaluation revealed significantly more problems identified within the curriculum and educational system compared to student-related issues.

Conclusions:

  • The Programme Evaluation SOAP Note facilitates the development of "differential diagnoses" for learner performance issues.
  • It helps differentiate between learner, curriculum, and system-based problems.
  • This approach informs ongoing programme improvement efforts in medical education.