If patient-centered medicine is to become a widespread reality in academic medical centers, educational initiatives must include reform of the medical record. The medical record is part of the hidden, or informal, curriculum of medical school and residency that defines for students and residents the essential ingredients of competent medical care. Whatever its merits, the conventional, problem-oriented medical record (POMR) is a pathology-oriented record that helps perpetuate a disease-focused, biomedical model of practice

　　如果以病人为中心的医学成为现实，在所以的教学计划中也就应该包含医疗记录的改革。常规的、以疾病为中心的医疗记录（POMR）也就是病理记录，它有助于维护以疾病为中心的生物医学模式。

　　Patient-centered medicine requires a patient-centered medical record (PCMR), one that addresses the person and perspective of the patient as competently as it addresses the patient's disease. The author proposes a PCMR that includes a concise, upfront Patient Profile; speaks of "chief concerns," not "chief complaints"; makes Patient Perspective a captioned component of the History of Present Illness; replaces the POMR's formula SOAP (Subjective, Objective, Assessment, Plan) with HOAP (History, Observations, Assessment, Plan); includes important patient perspectives on the Problem List; and calls for additional, written attention to the person and perspective of the patient throughout the course of medical care

　　以病人为中心的医学就要有一份以病人为中心的医疗记录（PCMR），它的对象是人。它要用主要问题来取代主诉；HOAP（history, observations, assessment, plan）来取代SOAP(subjective, objective, assessment, plan)…。

　　Patient-centered records can guide and teach clinicians at every level of training and experience to practice patient-centered medicine. Moreover, such records can also provide measurable evidence that this teaching has been successful.　

　　以病人为中心的病历记录可以指导并教育各级临床医务人员实践以病人为中心的医学，而且这些记录也为评价教育情况提供了量化证据。