The Instructional Concepts of Clinical Writing course is an introduction to clinical writing. The course is an essential stepping stone for future professionals as they embark on their clinical practice. The course is also geared towards seasoned therapists who struggle to write notes in an efficient, succinct manner. This course will present practical solutions for the therapist who feels overwhelmed, challenged and defeated by the note-taking process.
This course will prepare students for standardized documentation, serving to ease communication among professionals in the field and the individuals who benefit from their services. First, students will acquire strong procedural knowledge of the clinical interview setting the foundation for much of their writing. Additionally, they will review the standardized components of SOAP notes. Lastly, students will develop their report and letter writing skills through their exposure to a variety of commonly used templates.
DBN Elite is approved by the Canadian Psychological Association to offer continuing education for psychologists. DBN Elite maintains responsibility for the program.
All clinical practitioners are encouraged to take this course as it outlines the basics of documenting evaluation sessions and regular therapy sessions. Therapists looking for tips and tricks to facilitate this often daunting process will find this course useful.
By the end of this course, students will achieve the following outcomes:
1- Organize and apply the components of the initial clinical interview to gather relevant information pertaining to the clinical picture.
2- Summarize the concepts that characterize SOAP notes and demonstrate the ability to produce standardized clinical notes.
3- Recall and apply the conventions that standardize psychological reports and letters to produce uniform documentation for third parties.
The course is pass/fail, no numeric grade will be provided. A passing grade is 75%.
-Final Exam (100%): The course evaluation will be a cumulative exam that consists of 30
multiple-choice questions and true or false designed to assess your knowledge of clinical writing.
The final exam will be available to you once you have completed the lecture.
Initial Assessment – Clinical assessment – Mental status evaluation – Hypothesis building Writing Reports – Report format Writing Letters – Letter to physician – Letter requesting accommodation – Letter requesting leave of absence SOAP Notes – Subjective – Objective – Assessment – Plan |
