S(ubjective): Patient complains of loss of hearing and of having a banana in his ear.
O(objective): Patient cannot hear well and has a banana in his left ear.
A(ssesment): Patient has a banana in his left ear.
P(lan): Remove banana from left ear.
It doesn't seem like much but it actually became common practice and was a bit of an advance.
However if you think about it what was good about the SOAP notes and the problem based medical record is noticeably absent from the current proposal i.e. simplicity and common sense.
And for my part, I instantly distrust anyone who brings up Karl Marx in regards to anything unless it is to disparage him.
Weed makes some good points (but so do communists, at first). IMO, 75% of all doctors are greedy quacks and don't know what they're doing.
The other 25% may know, but are too expensive and too hard to get an appointment with.
And perhaps he did. The article gives no clue as to what the KM comment might have been referring to. Anyone who assumes otherwise is guilty of the same "rush to judgment" that Weed is accusing physicians of.
That said, in my life, I've had ONE really superb physician who actually used the scientific method in her diagnoses (turns out she was originally trained as and worked for a time as a clinical chemist before returning to med school). The rest were "highly trained technicians" capable of "following the routine script" and little else.