![]() On I appreciated his humility and emphasis on YouĮnormous personality, his passion for ideas, Massive flywheels of knowledge and thoughtĬonstantly purring along in his head. You might describe the genius brain as a parallel processor, having multiple gears spinning at once. Quotes from Shakespeare, Bacon, Whitehead, and Dewey would roll off his tongue, followed by a I was experiencing something completely different from medical school, conversations rangingīeyond medicine to history to philosophy to educational psychology to art, music, and more. ![]() Potential complaint the patient might have. ![]() Heads and - just as important - it was impossible to know all the right questions to ask for each To appreciate that individual practitioners could not possibly store every single diagnosis in their Medical decision-making and the limitation of the human mind in handling complexity. However, in this small attic office, I was introduced to the problem of cognitive biases in Unstructured, ad hoc mess to an aid for medical thinking. The development of the POMR and SOAP, and what it took to transform the medical record from an As a first-year medical student, I had no context or experience to reflect on the importance of Tom Sawyer never had anyone painting fences as quickly as Larry Weed had me painting with To Weed critique my training at the medical school just down the road. Medicus, and input medical literature knowledge into the PKC “Knowledge Net,” all while listening Evenings and weekends, read more medical textbooks, probe Index I had two lives and lived in a perpetual state of cognitive dissonance. Of the newly founded, three-employee PKC Corp. As a result of his lecture, I went on to have two medical educations betweenġ9: one at the medical school, and the other two miles away in the cramped attic office M.D.” It was 1984, I was a first-year medical student at the University of Vermont, and atypically, I had a lunch in a bag. The 8 x 11 sign on our lecture room door said, “Brown Bag Lunch Series: Speaker Lawrence Weed, Medical knowledge, and patient engagement. Until the age of 93 and even just a month ago, he soldiered on, tirelesslyĪdvocating for a completely different approach to medical education, medical care, organizing How forward-thinking Weed was, but also the courage he must have had.Īfter leaving PROMIS, he founded a medical software company, Problem-KnowledgeĬouplers (PKC). In thinking nowĪbout the idea of implementing an electronic health record in the 1970s, it is hard to grasp not only University of Vermont, Weed led a multimilliondollar ![]() Fromġ969 to 1981, while professor of medicine at the He was alsoĪ father, a spouse to the late wonderful Laura Of Weed, the father of the POMR, the SOAP noteĪnd Problem-Knowledge Couplers. So with deep sadness, I mourn the passing Structure to medical records, and in doing so, he United States evangelizing for a universal Weed, M.D., realized that a record organizedĪround patient problems could guide diagnosticĪnd critical thinking. Only illegible, but they had no organization and How they are an architecture to guide thinking and care.īefore the late 1960s, paper records were not The SOAP format and Problem List were invented and In fact, very few physicians today understand why “That was invented?” and then admit they do not have aĬlue. Resident, or young physician today, they will likely say, ![]() (Subjective, Objective, Assessment, and Plan) noteįormat came to be, they can likely tell you how, when,Īnd who promoted the idea. F you ask internists older than 70 how the Problem. ![]()
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