Objective Structured Clinical Assessment (OSCA) Practice Exam

In a SOAP note, the Plan focuses on what will be done next in the patient’s care. It lays out the concrete steps for management: the investigations or tests you want to order, the treatments or procedures you will perform or prescribe, and how and when you will follow up with the patient (including referrals if needed). It may also note patient education or instructions about medications and red flags to watch for.

The reasoning behind why you chose a particular approach is typically captured in the Assessment, not the Plan. Your past medical history belongs in the Subjective/History section, and consent forms are administrative documentation separate from the clinical plan.

For example, if a patient has suspected infection, the Plan would specify ordering relevant tests (like a white blood cell count or cultures), starting treatment (such as an antibiotic and supportive care), and arranging follow-up to assess response.