PROBLEM-ORIENTED MEDICAL RECORD AS A CHALLENGE FOR NARRATOLOGICAL ANALYSIS.

The paper examines the narrative arrangement of the problem-oriented medical record (POMR) as an effective method of registering and assessing clinical data. The aim of the research is to examine the types of narrators and focalization, as well as the hierarchy and interaction of narrative levels in the analyzed discourse. The research has demonstrated the presence of several types of narrators within the analyzed discourse: (1) the omniscient hetero-extradiegetic narrator with transient internal focalization (the third-person narration, represented by the physician) and (2) homo-intradiegetic narration (patient's first-person narration) in the "Subjective Observation" section; (3) the "estranged" heterodiegetic narrator with external focalization (the "Objective Observation" part); (4) the "uncertain" type of narrator (the "Assessment" part); (5) and the imperative mode of narration (the "Plan" section). Each section of POMR is characterized by a specific type of narration, and each of them aims to "intertwine" the events, scattered in time and space, into one coherent narrative to ensure the effective communication between physicians and successful treatment of patients. It is highly important for future physicians to develop narrative competence and master the basic mechanisms of producing an effective POMR, in order to be able to accurately document the encounters with patients, elicit the relevant details from case histories, and select the appropriate strategy of treatment. Therefore, in the process of training future doctors, the analysis of the basic mechanisms of writing POMRs should be an integral part of the curricula in English for Specific Purposes at universities.