Medical school

Robert Bell rmsbell at ESEDONA.NET
Wed Apr 30 14:47:12 UTC 2014


That is a good point. Insert all the evidence based medicine information and cost effective common sense, etc. in the simulation programs since training. 

Rob Bell

Sent from my iPad

On Apr 29, 2014, at 6:33 PM, "Pauker, Stephen" <SPauker at TUFTSMEDICALCENTER.ORG> wrote:

> Actually Rob
> 
> the problem may be the inability to forget.
> My mind is cluttered with half the stuff I have learned
> which is wrong but which I nonetheless retain and act upon.
> 
> Steve
> 
> Stephen G. Pauker, MD, MACP, FACC, ABMH
> Professor of Medicine and Psychiatry
> ===========================
> Please note new email address;
> spauker at tuftsmedicalcenter.org
> ===========================
> 
> ________________________________
> 
> From: Robert Bell [mailto:0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG]
> Sent: Tue 4/29/2014 6:14 PM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: Re: [IMPROVEDX] Medical school
> 
> 
> I would like to see simulation type teaching at all levels of training, including that of continuing medical education while practicing. With our forgetfullnes and the immense amount of new material we need to be "constantly" learning!
> 
> Rob Bell
> 
> Sent from my iPad
> 
> On Apr 28, 2014, at 8:44 PM, Vic Nicholls <nichollsvi2 at GMAIL.COM> wrote:
> 
> 
> 
>    Something Dr. Bell said rung one.  ;) 
>    
>    I've heard some docs talking and they said the first two years weren't really anything that they remembered. Is it possible to do 1.5 years and spend more time on actually doing "doctor" work? I know I did a Citizens Police Academy where they took us thru "Police Training Light". Simulations and the like were done and let me tell you, those simulations, where you had to choose to fire a gun or not, really got you to think. 
>    
>    Maybe some simulations more with the newer doctors in school, 1/2 a year devoted more to doing than just passing the u smile?  
>    
>    Victoria
>    
>    
>    
>    On 4/27/2014 5:11 PM, robert bell wrote:
>    
> 
>        Well said, I agree totally. 
> 
>        I am not exactly sure what the solution is but it would seem that we need pretty intense education. I have always felt the simulation labs, like the airline industry, with Evidence Based algorithms, that include frequency guesses and cost issues, would offer the best chance of getting medical students, residents, and CME HCPs to the level of superstars. A basketball player after 100,000 shots!
> 
>        Well designed programs that mimic the clinical situation would themselves provide information on where trainees make errors/mistakes that can in turn then be made public so that the algorithms can be tweaked and clinical practice altered.
> 
>        It would seem that something like this could be high on the list of the thought leaders in this field of endeavor.  
> 
>        Does anyone know of this kind of research taking place anywhere in the world?
> 
>        One could start first with potentially life threatening situations in the ER, be it Cellulitis, Pneumonia, or Pulmonary Embolism or other conditions that are "often" missed.
> 
>        Perhaps it could develop to a state where everyone with a certain set of symptoms could quickly be "put through" a computer program/algorithm. This to suggest a course of action, lab tests, and treatment. Or something like that!
> 
>        Rob Bell
>        
> 
> 
> 
> 
> 
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