Book Chapter in Time of Care

Time of Care has a slightly different approach to writing and using a book designed to help providers at the time of care. The chapters are written in a SOAP format as illustrated below.  They are arranged in a way that most physicians think when a patient is in front of them. This happens to be also how most doctors write patient notes as well as how many outpatient and inpatient EHR templates guide the workflow during a clinic visit.

By doing so, the chapters can easily be used while the practitioner is sitting in front of the patient as an unintrusive guide to the patient care at the time of care. I know many doctors who invite the patient to share the screen with them as they use these short book chapters both as a guide to patient education and also as a way to remind themselves so that they don’t forget anything. Many report patients being very happy that they were included in the decision-making process and everything was explained to them.

The provider would invite the patient to a computer screen or iPad or similar device in the clinic, ER, or hospital room and go through it (just as one would a powerpoint presentation) from top to bottom. In this way, this becomes a great patient education tool as well as an excellent time of care aid for the provider. The content is also written in a way that after briefly going through it with the patient, the provider can copy, paste and edit the chapter and that becomes the assessment and plan section of their note. This is a patient-centered approach to delivering care that is both efficient, thorough, and makes note writing quick and easy.

The following is the format for a book chapter in Time of Care. Compare it with book chapters in other books written for the time of care.

A Book Chapter in the Time of Care Online Book

To make this possible, we use hyperlinks so that the note isn’t too busy. Everything in red is hyperlinked to a different page on the site.

Note that the book chapter is written in a SOAP format.

Subjective (History)
Clinical Manifestations and Associated Conditions.
Risk factors.
-Red flags.
Medication review for culprit drugs.
-Other pertinent components of history.
Differential diagnosis.
Objective (PE & Labs/Imaging Studies)
-Physical exam/vital signs.
-Diagnostic studies/labs/imaging.
Assessment & Plan
Assessment. E.g. Patient meets xyz definition of the diagnosis.
Treatment Plan:
Non-pharmacological.
Pharmacological therapies.
Prevention.
Indications for referral.

-Patient education: Etiology/epidemiology, pathophysiology, Treatment options, med s/e, and complications.
Prognosis.
-Follow up.

Assessment & Plan (Based on the Time of Care book chapter)

Every chapter in this online book will have a nice and succinct assessment and plan section that is based on the book chapter which you may easily copy and paste in your EHR and then edit to complete your note.

Subjective (History)
Clinical Manifestations and Associated Conditions reviewed.
Risk factors: ______
-Red flags not present.
Medication review for culprit drugs.
-Other pertinent components of history reviewed.
Differential diagnosis reviewed.
Objective (PE & Labs/Imaging Studies)
-Physical exam/vital signs, performed /reviewed. 
-Diagnostic studies/labs/imaging, reviewed.
Assessment & Plan
Assessment: Patient meets xyz definition of the diagnosis.
Treatment Plan:
Non-pharmacological, reviewed.
Pharmacological therapies, reviewed.
Prevention discussed.
Indications for referral discussed.

-Patient education: Etiology/epidemiology, pathophysiology, Treatment options, med s/e, and complications briefly discussed with the patient.
Prognosis discussed.
-F/u in ____  weeks

How to write a chapter for the Time of Care book

If you are a resident or an attending physician and would like to contribute a book chapter to the time of care book, please email kenneth@kennethmd.com

Residents may contribute, however, they will need an attending to work on the chapter with them.