Title: Explain the legal and ethical purpose and significance of documentation and record-keeping in sports medicine.
Course: Sports Medicine/Athletic Training I (14062-I) > Section: Understanding Legal and Ethical Issues in Sports Medicine

Explanation should include

- documentation is a written record of observations and actions related to a certain medical event
- documentation facilitates communication among healthcare professionals and other significant parties
- guidelines exist regarding documentation in medical-related professions
- the ethical and legal considerations of record-keeping.

Process/Skill Questions:

- What are the legal requirements of record-keeping, including record format, retention, and accessibility, in professions associated with sports medicine?
- What ethical issues relate to record-keeping and documentation in professions associated with sports medicine?
- What is a subjective, objective, assessment, and plan (SOAP) note? When should SOAP notes be written by certified and/or licensed allied healthcare professionals?