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Related Experiment Videos

Problem orientated medical records--all or none?

A G Antoniou, E D Sever, J P Toby

    Medical Education
    |May 1, 1979
    PubMed
    Summary
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    Junior doctors prefer the Problem-Orientated Medical Record (POMR) over traditional methods. A modified POMR approach, using it for initial assessments and handovers, may increase its acceptance.

    Area of Science:

    • Medical Informatics
    • Clinical Documentation

    Background:

    • Traditional medical record-keeping methods are widely used.
    • The Problem-Orientated Medical Record (POMR) offers a structured approach to clinical documentation.
    • Understanding junior doctors' experiences with POMR is crucial for improving medical record systems.

    Purpose of the Study:

    • To assess junior hospital doctors' familiarity with and attitudes towards the Problem-Orientated Medical Record (POMR).
    • To identify the perceived advantages and disadvantages of POMR compared to conventional medical records.
    • To explore potential modifications to enhance the acceptability and utility of POMR.

    Main Methods:

    • A survey was distributed to junior hospital doctors from various medical schools.
    • The survey inquired about prior exposure to POMR during undergraduate training and from other sources.

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  • Doctors with POMR experience were asked to compare it with conventional record-keeping methods.

    • Main Results:

    • Few junior doctors were formally taught POMR by their undergraduate institutions.
    • A significant number learned about POMR through self-directed or informal channels.
    • The majority of doctors with POMR experience found it preferable to conventional methods.

    Conclusions:

    • Junior doctors generally favor the Problem-Orientated Medical Record (POMR) over traditional note-writing formats.
    • Modifications, such as using POMR selectively for initial assessments and inter-team transfers, could improve its adoption.
    • Further integration of POMR training and flexible implementation strategies are recommended for medical education and practice.