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━━━━━━━━━━━━━━━ System from case to differentiation/diagnosis Internal medicine POA/SOAP learn systematically ━━━━━━━━━━━━━━━ POA and SOAP are approach methods that focus on the problems currently faced by patients and determine what to look at and how to differentiate and diagnose. It was proposed more than 50 years ago and has been adopted in most clinical settings in the United States, but it has not yet become widespread in Japan. How to approach "POA (Program Oriented Approach)", follow the procedure called "SOAP (Subjective Objective Assessment Plan)", check from symptoms, differentially diagnose, connect to treatment, share and visualize in medical records. Let's learn about the system. If this system becomes established in primary medical care settings, it will be useful in preventing oversights and losses at the primary to secondary care stage. Depending on the chapter, you may already have a good understanding of some content, such as POA and physical examination. However, it is possible to review the basics and share them within the hospital, which can be used to educate new veterinarians and veterinary nurses. ━━━━━━━━━━ the basis for sharing ━━━━━━━━━━ This course is taught by Professor Yoko Miyamoto, who is enrolled at Washington State University. In the United States, patients have to visit various departments before going to the clinic, and SOAP is usually the basis of their examinations. In Japan, on the other hand, it is common for people to become accustomed to the hospital and veterinarian's methods after completing their university education and entering the clinical setting. Even if we have detailed knowledge, understanding, and experience, the reality is that we do not have a system for logically differentiating cases or guiding diagnoses in clinical practice, and there is a gap. By eliminating assumptions about symptoms and learning systematic approaches such as POA and SOAP, you will be able to bridge that gap. Depending on the chapter, you may already have a good understanding of some content, such as POA and physical examination. However, it is possible to review the basics and share them within the hospital, which can be used to educate new veterinarians and veterinary nurses. ━━━━━━━━━━ curriculum ━━━━━━━━━━ 1st Period “What is POA” -POA- A diagnostic approach called SOAP. How do you do it and what is its significance? 2nd period "Physical exam" -Physical exam- A physical examination that is always performed during a medical examination. Let's master the basics of physical examination in order to make an accurate diagnosis. 3rd Period “Vomiting/Diarrhea Approach” 4th Period "Coughing Approach" -Cough- 5th period "Approach to polydipsia and polyuria" -PU/PD- 6th Period “Convulsion Approach” -Seizure- 7th Period “Hyperbilirubinemia Approach” -Hyperbilirubinemia- 8th Period “An Approach to Hypoalbuminemia” -Hypoalbuminemia- 9th Period “Hypoglycemia Approach” -Hypoglycemia- 10th Period “Azotemia Approach” -Azotemia- ━━━━━ Student feedback ━━━━━ “I want to systematically understand clinical practice, which has been understood point by point, by connecting it with lines.” ``I want to break free from the fact that I am re-employed after a hiatus, and I don't know how to study systematically, so my treatment is focused on symptomatic treatment.'' "I want to learn methods to clarify what the problem is and how to deal with it appropriately, so that I can use it in the field." We received such feedback in a preliminary survey. Please make this logical approach system your own that can be shared in clinical settings. Professor Miyamoto welcomes active feedback, saying, ``Please feel free to ask any questions or opinions.'' ━━━━━━ Lecturer introduction ━━━━━━ ◎Mr. Yoko Miyamoto American Veterinary Internal Medicine Specialist Washington State University School of Veterinary Medicine ━━━━━━━━━ Recommended for these people ━━━━━━━━━ ・Those who want to relearn POA/SOAP ・Those who want to provide guidance to their juniors based on evidence. ・Those who want to break away from the practice of their workplace and medical treatment that relies on "experience and intuition." ・Those who want to incorporate a standard treatment approach into their hospital and realize team medical care.