SYMPTOMS OF Internal Medicine
Medicine is a lifelong learning.
This morning, I gave an online lecture to Y6 students, I also added to them: Our profession is to learn and last even a lifetime, until we stop practicing. As a clinician, the diagnosis is the most important, the correct diagnosis will have a higher chance of successful treatment. If the diagnosis is wrong and the treatment is cured, it can be “good luck” or “blessed master fortune”. If you want to make a correct diagnosis, you must learn the symptoms well. The symptomatology is like the first bricks put in place to make a solid wall. Therefore, clinical experience and sensitivities are also very important to help the clinician make the right diagnosis. Treatment must also be learned, but first learn the principles first, specifically learn later. Because treatment can change very quickly. Guidelines can change rapidly as Medicine is currently Evidence-Based. Many guidelines change and are updated every year, so we must also update them for patients to benefit from these advances. So while treating the patient, we can also open the book, open the protocol is normal.
A bad doctor does not mean that you have to open a book, but a bad doctor will be a doctor who refuses to update new things, refuses to open books, look up newspapers. Of course, guidelines and guidelines are only general guidelines, guidelines can not be responsible for the patient’s life.
Therefore, it requires the responsibility of the physician when making treatment decisions, and also requires the individualization of treatment, and in addition the experience of the physician. Because experience is not always bad and old, outdated. “Old teachers and children sing young”, so the old teacher also has the values of the old teacher, but the old teacher will fail if the old teacher does not update regularly, especially in the information technology era. current storm. Therefore, guidelines are like beacons, helping treating doctors to go faster and get closer to success, at least it helps us to know how to go. and where to go, because it also provides therapeutic goals, that is, the goals that we must achieve.
On the other hand, although clinical is really important, in today’s era, subclinical is equally important. Modern and appropriately indicated clinical examination will help to better diagnose and treat patients and have a higher chance of saving lives. Therefore, hospitals that are large enough, have modern and accurate laboratories for testing as well as imaging and functional exploration are really beneficial.
In the past, when I was a student, medical school didn’t actually have courses that taught students about starting scientific research, how to collect and find scientific evidence, as well as teach students how to be capable. self-study and better understand the meaning of continuous learning or lifelong learning. The current innovation program has begun to have more correct approaches such as professionalism in medical practice, more emphasis on informatics, foreign languages, teaching students how to find scientific evidence, etc. Hopefully, the students will have a broader perspective than previous generations like me.
Therefore, in society, every profession requires self-discipline and lifelong learning, but the medical profession requires self-study and continuous learning.