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Related Concept Videos

Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

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The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
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Diana Baumrind's four parenting styles — authoritarian, authoritative, neglectful, and permissive — each influence children's socio-emotional development differently.
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Methods of Documentation IV: Focus Charting01:26

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Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
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Methods of Documentation III: PIE01:21

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Related Experiment Video

Updated: Sep 11, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Work Style Reform for Pediatric Residents.

Hiro Nakao1,2, Osamu Nomura2,3, Naoya Tonegawa2

  • 1Department of General Pediatrics and Interdisciplinary Medicine, National Center for Child Health and Development, Tokyo, Japan.

JMA Journal
|August 11, 2025
PubMed
Summary

Work style reforms at the National Center for Child Health and Development (NCCHD) improved pediatric residents' well-being. Reduced work hours and enhanced rest compliance led to significant decreases in burnout and depression symptoms.

Keywords:
burnoutpediatric residentresidentwellnesswork style reform

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Area of Science:

  • Medical Education
  • Occupational Health
  • Pediatrics

Background:

  • Work style reforms impact resident training and wellness.
  • Pediatric residents face challenges balancing education and personal well-being.

Purpose of the Study:

  • To evaluate the effects of work style reform on pediatric trainees at NCCHD.
  • To assess changes in work conditions and resident wellness from 2019 to 2024.

Main Methods:

  • Cross-sectional survey of pediatric trainees in 2019 and 2024.
  • Utilized questionnaires including demographic data, work conditions, Center for Epidemiologic Studies Depression Scale, and Maslach Burnout Inventory (MBI).

Main Results:

  • Significant reductions in weekly work hours and night/holiday shift frequency.
  • Increased compliance with daytime rest post-night shifts.
  • All Maslach Burnout Inventory subscales showed significant improvement (p < 0.001).

Conclusions:

  • Work style reforms positively impacted pediatric residents' work conditions and wellness at NCCHD.
  • Findings suggest potential benefits of work style reform for physician well-being in medical training.
  • Further research across medical specialties is recommended to confirm broader impacts.