Let's Stick To Our Basic!
Spotted the post of palmdoc in MMR regarding Eternal Clerking. I absolutely agree with palmdoc. I still remember my professor in UM once said, an in-depth clearking and detail examinations are able to make >95% of the clinical diagnosis. We only need investigations to confirm the provisional diagnosis.
Undoubtedly, the advancement of modern medical diagnostic tools have changed the way of our practice. Sometimes, we are over dependent on these new gadgets until we forget the basic skills that we learned during our undergraduate days. In addition, defensive medical practitioner also rely on investigations to self-proof from medical legal issues.
All MRCPians, let's not to forget our eternal basic! I am sure we all can make an accurate clinical diagnosis in 13 minutes of detail history clerking and 5 mins of system examination.
All the best for your coming PACES in Oct/November!
Here is a great melody kudos on the essentials of clinical skills. Cheers!
Undoubtedly, the advancement of modern medical diagnostic tools have changed the way of our practice. Sometimes, we are over dependent on these new gadgets until we forget the basic skills that we learned during our undergraduate days. In addition, defensive medical practitioner also rely on investigations to self-proof from medical legal issues.
All MRCPians, let's not to forget our eternal basic! I am sure we all can make an accurate clinical diagnosis in 13 minutes of detail history clerking and 5 mins of system examination.
All the best for your coming PACES in Oct/November!
Here is a great melody kudos on the essentials of clinical skills. Cheers!
Labels: PACES Skills
posted by Dr. David Teoh @ 9/27/2007 05:11:00 AM
4 Comments:
You are aboslutely right
Good clinical skills are essential to be a goood doctor and to pass clinical exams such as paces
To become a good clinician you should learn good methods either from a good teacher(difficult to find) or from a good clinical methods textbook
In addition you should see loads of cases
Your are right
Poor clinical skills results in disaster for patients, doctors and the service
The NHS ( national health service) in UK is almost bankrupt because of poor clinical skills and reliance on multiple expensive tests
I totaly agree with the comment that good clinical skills are essential on the shop floor both for the sake of patients as well as for the services, however I differ from one of my anonymous colleagues who has shared the dwon side of NHS. Actually the pervalencs of investigations is much less then what I have witnessed in other countries and still clinical skills are a major teaching emphasis especially by the old fashioned consultants. One of my boses used to be infuriated when any of us suggested an echocrdiogram and used to rely heavily on clinical judgement rather CT / USS and MRI .
good luck to all for PACES
Yes absolutely right! I agree entirely:)
The 'preformed' impulses of ordering investigations rather than harnessing the power of bedside clinical skills have been quite rampantly seen in this era.
Though i'm not that old-fashioned type (I still do a lot of 'indicated' echo myself!), nonetheless, I really think that ordering investigations in a 'carpet bombing' manner without much clinical assessment is a sheer wastage of valuable resources:(
And thank you for your wishing to the PACES candidates!
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