"History, physical, assessment and plan" is my preference, SOAP note training in the past. I try to get the plan to sound like a narrative note so that if someone else reads the note, ie referral to GI, they know why I am sending the pt. That doesn't mean they read my note because it can be clear that certain ones never do but I think it helps. Probably fooling myself. I know it does nothing for the insurance auditors because it is in a narrative they think I don't do things. They are only looking for bullet points, real quality control on their part! ON that note, there is a large billboard just put up in town fro Wellmed, says something like we're now in town to help your local physician, yeah right!