Your passion for certain causes or issues, as well as your hobbies or interests, show who you are. How do you spend free time? What excites you? Concerns you? Enrages you? What have you done to translate this passion into action? I know a student whose concern over the Middle East conflict led him to give bracelents to all of his classmates commemorating those who have died in the conflict. His essay on the topic worked because his passion led him to action, and his writing conveyed his passion. Another student explored how his childhood Lego hobby was a springboard to building robots in national competitions. I taught a young woman whose frustration over male-female relations in her school led her to start a Gender Issues discussion group. I know people who could write fascinating essays on their obsession with beads, their rock collection, or bike riding. Perhaps you think it's less than admirable to say you spend every Saturday afternoon watching classic movies, but if you can intelligently reflect on why you love old movies and what it shows about you, it could be a worthwhile topic.
The plan is what the health care provider will do to treat the patient's concerns - such as ordering further labs, radiological work up, referrals given, procedures performed, medications given and education provided. The plan will also include goals of therapy and patient-specific drug and disease-state monitoring parameters. This should address each item of the differential diagnosis. For patients who have multiple health problems that are addressed in the SOAP note, a plan is developed for each problem and is numbered accordingly based on severity and urgency for therapy. A note of what was discussed or advised with the patient as well as timings for further review or follow-up are generally included.