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  Total Re-design of Medical Education Needed.
Medical Education Posted by I. Valdes on Thursday March 30, 2000 @ 05:27 PM
from the you-gotta-believe dept.
Let's face it: it is time to clean medical educations house from top to bottom. Digg this article

I was taught in medical school how medicine was, not how medicine is or should be. I watched helplessly as my 'instructors' attempted to teach me obviously out dated, useless information and endured incredibly time-wasting activities such as staring at your shoes for hours while inefficient, ineffective communication occurred. This was also known as rounding and the chart.

Meanwhile, HMO's the government and seemingly everyone else was tightening their grip on medicine. I watched in helpless horror as the leaders, academics and medical 'educators' continued their time-honored, abusive medical teaching techniques and practices which only served ego's and in some cases were illegal.

And the requirement for more documentation poured in. And the tonnage of medical information doubled just while I was in medical school. And Physicians brains, despite wishful thinking, did not get bigger.

This has to change. Increasing medical information and technology must be met with technology. Instructors and medical schools must in wholesale numbers drop the pen and pick up the power tools. The enormous memorization, time-wastage, disorganization, elitism and harassment beginning in medical school must end and be replaced by efficient, humane and effective technology solutions. The sum total of medical school and residency should take no more than 5-6 years total, irrespective of specialty. Medical knowledge must be re-organized in machinable forms. The greed that keeps effective clinical software proprietary and out of the hands of practitioners has to cease. Abusive teaching practices, mis-management of staff and fear must be abolished.

This site and Freemed is a start. It CAN be done.

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  • The Fine Print: The following comments are owned by whoever posted them.
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    Re: Total Re-design of Medical Education Needed.
    by sal terre on Friday March 31, 2000 @ 02:19 AM
    if this was posted in front of a room full of residents, the reply numbers would break all time records - and lmn might get slashdotted! i have family who are currently residents as well as a first year med student wife, so i can safely agree that change is needed. however, technology has converted many recalcitrants in other industries. in fact the more correct term would be 'broken'. but academic systems are the most stubborn of all systems, look how poorly American public school systems have successfully integrated technology, and most colleges are 4 years behind today's trends.
    [ Reply to this ]
    Re: Total Re-design of Medical Education Needed.
    by sam on Wednesday April 05, 2000 @ 08:21 AM
    i'm finishing up medical school right now and living abroad for a while on research elective. I agree that medical school is a ridiculous affair, particularly the clinical interactions. But those are sociological reality, not so much truly information management. I would try to distinguish the battles so that you not get confused and frustrated when synching everyone's patient management palm eliminates the need to do that ridiculous rounding carnival fails to eliminate the new instantiation of that same carnival. And by the way, core curriculum is changing, with this whole problem-based thing pioneered at Hawaii, Boston, and somewhere in the midWest. It has not yet reached clinical years, but eventually it will. There's another issue you're failing to address here: most doctors of my acquaintance are not particularly intellectual, almost none are very well-read, and few are particularly engaging. They're a bit like network engineers but with people rather than networks. Making their information management more efficient won't change that, and I suspect that in part you're responding to that: the "hanging out" of some bourgeois men, and your enforced participation in it. As far as the shorter time course... I'm a little dubious about that. I live in a country where it's 6 years long, and even if these people had ILIAD or that MGH diagnoser and EpoCrates, and a failsafe computerized review, they'd still make me nervous. We're already killing hundreds of thousands of people annually (by report of the IoM), and while I grant that many of those are the result of inadequate information systems, I think we need to start with better and just as long and then move on to better and shorter. i'd hate to end up with a lot of slashdotters trying to treat my patients. So to summarize: medicine has myriad problems, including sociological and personal ones. Medical education is an evolving art and science with much room for improvement. We need better informatics. Let's clarify which battle we want to fight, rather than issuing indiscriminate invective. in any case, i fully support open source solutions to informatics problems, particularly for the developing world.
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