Dear Readers,
You must have come across the quote "Well done is better than well said " indeed your work should be your narrative but today i would like to add to this 'Well documented work is equal to how well you worked'
Documentation is an essential aspect of any practice as the words put down establishes a concreteness to your work.
From an OT perspective,it is important to include the habit of writing good clinical notes as it provides a framework for future reference as well as reflects the depth of your analysis and intervention.
Unfortunately this habit lacks in many fresh graduates who start with private practice or even if affiliated to an organization are not able to execute due to contextual constraints.
Talking to one of my US colleague,i got the glimpse of importance laid to this aspect of treatment and how a well documented notes is given better regard in different areas of practice.
Speaking to graduate students and experiencing this myself when i was a student,the extent of practice to integrate clinical reasoning and an effective documentation was inadequate.This again is subjective and my individual perception,however there can be difference of opinion and may be there improvisation in this area of learning .Also this subject varies across different colleges.
But i personally feel,the scenario that i described is not very uncommon and has led to weak foundation amongst students.
There is a lot of talking amongst the educational institutes about importance of documentation and why it should be done but the approach of driving this practice in each student lacks at any places.
Just like the way MMT grades or MAS gets induced in the minds of all the students and after a point of time gets too instant to require moments of thinking lacks when we talk about documentation.This is because it is not practiced with same fervor.
I am sure in a year,each student practices MMT at least a 100 times and i am equally sure that 10% of this is not invested in practicing documentation skills.
Now if somebody reverts saying its a skill that needs to be developed and refined,i would say ,before that it needs to be sown.If this is incorporated as regular assignment at all educational institutes of occupational therapy(although happening at many places) would carve a more skilled set of professionals.
Talking about SOAP NOTES or SMART GOALs,lets together improve and innovate the documentation style .This practice shall be done regularly on my blog.
I would notify the same and hope my future posts will be of benefit.
-SSW
P.S:The views expressed are my personal opinion and are not with the intention to disregard anyone.
You must have come across the quote "Well done is better than well said " indeed your work should be your narrative but today i would like to add to this 'Well documented work is equal to how well you worked'
Documentation is an essential aspect of any practice as the words put down establishes a concreteness to your work.
From an OT perspective,it is important to include the habit of writing good clinical notes as it provides a framework for future reference as well as reflects the depth of your analysis and intervention.
Unfortunately this habit lacks in many fresh graduates who start with private practice or even if affiliated to an organization are not able to execute due to contextual constraints.
Talking to one of my US colleague,i got the glimpse of importance laid to this aspect of treatment and how a well documented notes is given better regard in different areas of practice.
Speaking to graduate students and experiencing this myself when i was a student,the extent of practice to integrate clinical reasoning and an effective documentation was inadequate.This again is subjective and my individual perception,however there can be difference of opinion and may be there improvisation in this area of learning .Also this subject varies across different colleges.
But i personally feel,the scenario that i described is not very uncommon and has led to weak foundation amongst students.
There is a lot of talking amongst the educational institutes about importance of documentation and why it should be done but the approach of driving this practice in each student lacks at any places.
Just like the way MMT grades or MAS gets induced in the minds of all the students and after a point of time gets too instant to require moments of thinking lacks when we talk about documentation.This is because it is not practiced with same fervor.
I am sure in a year,each student practices MMT at least a 100 times and i am equally sure that 10% of this is not invested in practicing documentation skills.
Now if somebody reverts saying its a skill that needs to be developed and refined,i would say ,before that it needs to be sown.If this is incorporated as regular assignment at all educational institutes of occupational therapy(although happening at many places) would carve a more skilled set of professionals.
Talking about SOAP NOTES or SMART GOALs,lets together improve and innovate the documentation style .This practice shall be done regularly on my blog.
I would notify the same and hope my future posts will be of benefit.
-SSW
P.S:The views expressed are my personal opinion and are not with the intention to disregard anyone.
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