What's under-taught in Medical School?

本帖于 2023-04-12 18:09:55 时间, 由普通用户 renqiulan 编辑

Imagination is about breaking new ground. Without imagination, medical practice will lose its edge. It's high time to train our medical students up for expecting the unexpected. How? 

 

Digital simulation is all the rage these days. So let's tap into it. We'll create scenarios challenging our medical students to step out of their comfort zones. 

 

Say, New York City is suddenly swallowed up by a blackout which somehow goes on much longer than expected. Backup power is running out. Flashlights and candles are all we have in the dead of night. How to make do with replacement tools that require no electricity? How to go about triage when the emergency room (ER) is overwhelmed with mass hysteria? Nothing is or should be taken for granted. Meanwhile, nothing is or should be ruled out as a potential life-saving device. 

 

It never hurts to let our medical students have a head start with outside-the-box simulation training. Indeed, if they could also be trained like U.S. Navy corpsmen during their summer breaks, so much the better. 

 

Author: Ren Qiulan 

 

 

所有跟帖: 

跟內子一起读了一遍,觉得洋君的建议可取。 -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 21:03:21

谢谢Jiang 夫人、Jiang 先生!Ladies first, always. -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 21:06:52

Ladies first! 当然。容俺岔开一点。小泉八云,他是美国人,后入日籍,精通日语,他从文学看美日对妇女态度之差异 -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 21:16:41

想必是关于“绅士风度”吧。谢谢介绍小泉八云,日后找他的英语著作看看。匆匆Google 过,他有英语写的文学专论。 -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 21:23:39

內子想请教洋君,医科生这么忙,还可以挤进simulation training 吗? -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 21:26:52

谢谢Jiang 夫人的提问。藤校录取的医科新生,其实都已是walking anatomy encyclopedias了。 -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 21:32:12

洋君的意思是? -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 21:33:55

医科的首两年,主要是授以physiology 及 pathology 的专业知识。他们早在pre-med打稳了基础。 -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 21:40:53

如此一来,医科生的第一二年应该较易过关。 -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 21:44:22

Yup, they'll pass the exams with flying colors. -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 21:47:03

同步加进具挑战性的simulation training, 是可行的了。 -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 21:49:52

对。就跟训练飞行员类似。 -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 21:52:05

文中举出了纽约市夜间突然大停电中如何应付急症的模拟训练,很有意思。 -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 21:57:10

Digital simulation 可以造出这种危机处境,医科生就要学习怎样在最不利的条件下创造出应急条件。 -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 22:02:51

听起来像在战地抢救伤员。 -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 22:05:45

之所以在文中末段建议医科生不妨在暑假里接受U.S.Navy corpsmen式训练。 -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 22:09:52

那不是军医吧。 -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 22:11:40

当然不是,然而corpsmen 也许比军医更直接地发挥战地抢救的效能,就像急症室护士一样。 -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 22:15:57

对。谢谢。向洋君道个晚安! -LYJiang- 给 LYJiang 发送悄悄话 LYJiang 的博客首页 (0 bytes) () 04/11/2023 postreply 22:18:24

不谢。先生晚安! -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/11/2023 postreply 22:19:28

Being prepared is a good idea, for every profession -nearby- 给 nearby 发送悄悄话 nearby 的博客首页 (0 bytes) () 04/12/2023 postreply 03:47:39

It's a motto we all should live by. Thanks, nearby! -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 05:52:46

Realistically, though, we can only do our best. -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 06:18:37

转给我的在学医和想学医的孩子们了,谢谢分享! -紫若蓝- 给 紫若蓝 发送悄悄话 紫若蓝 的博客首页 (0 bytes) () 04/12/2023 postreply 03:59:27

好建议!早安 -lovecat08- 给 lovecat08 发送悄悄话 lovecat08 的博客首页 (0 bytes) () 04/12/2023 postreply 04:18:29

Thanks, Madam Cat! -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 05:59:56

Thanks, 紫若蓝. All the best to you and your children! -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 05:59:00

谢谢小R,加拿大缺家庭医生!弱弱地问一句:学医的? -花似鹿葱- 给 花似鹿葱 发送悄悄话 花似鹿葱 的博客首页 (0 bytes) () 04/12/2023 postreply 05:21:33

Thanks but I'd rather keep it to myself here. -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 06:06:17

We have social media dedicated to AMA members. -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 06:28:08

Good idea. I paid $2000 for my kid getting 应急license /certificat -AP33912- 给 AP33912 发送悄悄话 AP33912 的博客首页 (0 bytes) () 04/12/2023 postreply 06:21:00

in her spare time of Junior year. -AP33912- 给 AP33912 发送悄悄话 AP33912 的博客首页 (0 bytes) () 04/12/2023 postreply 06:22:00

It's a wonderful idea. AP, you should be proud of yourself. -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 06:37:22

BTW, U.S. Navy corpsmen are great medics. -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 06:33:35

...for girls too? -AP33912- 给 AP33912 发送悄悄话 AP33912 的博客首页 (0 bytes) () 04/12/2023 postreply 07:00:00

A corpsman can be a woman. -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 07:08:35

要花$2000 吗,你是说paramedics certification 吗?我可以转告我想考医学院的老二,如果你不介 -紫若蓝- 给 紫若蓝 发送悄悄话 紫若蓝 的博客首页 (0 bytes) () 04/12/2023 postreply 07:56:35

是滴。 -AP33912- 给 AP33912 发送悄悄话 AP33912 的博客首页 (0 bytes) () 04/12/2023 postreply 10:03:00

好想法。 -梧桐之丘- 给 梧桐之丘 发送悄悄话 梧桐之丘 的博客首页 (0 bytes) () 04/12/2023 postreply 08:58:08

谢谢梧桐版主! -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/12/2023 postreply 11:45:19

的确,katrina hit new orleans 后,很多医院经历了那些假定情形,其中是否病人被“安乐死”打官司 -颤音- 给 颤音 发送悄悄话 颤音 的博客首页 (0 bytes) () 04/12/2023 postreply 20:15:06

Thanks for your input. Yes, a disaster may strike anytime. -renqiulan- 给 renqiulan 发送悄悄话 (0 bytes) () 04/13/2023 postreply 05:57:31

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