1 karma · joined November 2, 2023
This is very dependent on your school and program. At my school, the engineers selected their specialty at the end of, I believe, freshman year. My program was so rigorous with specific requirements that if I didn't start them during freshman year, I could not have graduated in 4 years. As it stood, I missed a semester due to illness and was set back an entire year because of it.
Now, recorded lectures, on the other hand, are superior. Combined with the ability to directly contact the lecturer, it would be an infinitely more successful method of learning for me.
Perhaps the way forward is the way my medical school does it - 3 different pathways: lecture-based, problem-based, and self-study. Let each student choose the path best for them.
There should be some kind of structure, and I imagine, if there are exams, there is some kind of structure, for the students to be following. There should be required textbooks as well, so that resources are consistent.
And, of course, there needs to be unbiased feedback to improve the system.
Also, even lecture-based students spend thousands of dollars on outside material. And doing so isn't a "secret". At least $300-400 is spent by each medical student for the arguably "required" board prep materials, completely disconnected from how they learned in the first two years.
If you're not familiar, after medical school (4 years), you have to complete a residency in order to become board certified. Residencies last anywhere from 3 to 6 years depending on the specialty. After residency comes an optional fellowship to further sub-specialize. Those can be 1-3 years.
I probably could have shopped around and found some place that worked well for me, but I just wasn't sold on writing software for a lifetime.
Edit: Let me add this: One of the biggest headaches I found in day-to-day life in the office was the lack of self-improvement. I missed being challenge not just with new material, but with what my colleagues were learning as well. There was no real drive for self-improvement in the officeplace, no real interest in spending anytime outside of work to learn and get better, and I missed that aspect of school and medicine.
I'll also say that I probably thought seriously about quitting medical school 30 or 40 times in the first 2 years. Now that I'm on rotation and actually interacting with patients full time again, I'm in love.
In all seriousness, I do have a hard time guessing which one most children would pick. I can see reasonable arguments made on either side. Personally, I think it would be far more inspiring to have a father who died pursuing his passion, then one who gave it up to stay at home.
Here's one: I live on a "Drive". It's road built through townhouse complex. Pretty much the exact opposite of what I'd call "long, winding road shaped by natural environments". It connects to a "court", which is another road through the complex that most certainly does not "[end] in a circle or loop – like a plaza or square".
Edit: "Road" isn't even on this list!
2nd Edit: I've consulted some traffic engineers. I'm genuinely curious to see what they say.
A reddit user named brosencephalon when through First Aid* (2015 I think?) and made about 13000 Anki cards for everything in it. It's been extremely popular on the r/medicalschool subreddit, with multiple people saying they did well on boards as a result.
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* First Aid: First Aid for the USMLE, published every year. It's basically the bible for medical students preparing for the board exams (namely, the USMLE, or US Medical Licensing Exam, of which there are 3 parts. The first one is taken at the end of the 2nd year of medical school.)
There's some great points here. One for discussion that I'd disagree with is copying your notes. Here in medical school, it's literally temporally impossible to copy your notes and actually get to all the material. It's definitely an extremely effective way to learn the material, but unfortunately when you have so much material in so little time, it's just not feasible (FWIW, an average semester has 25 credits of courses for me).
I'd also add in spaced repetition studying - this has been an extremely effective method of studying for me, and I've learned more via spaced repetition studying of previously made flashcards than I have from reading the textbooks. And it does a phenomenal job of isolating the material you need to know from what you already know.
Why do you want to have the diagnosis before seeing a physician? (I'm legitimately interested in the answer.)
In my experience, it's about 50-50 with helping versus hurting making the correct diagnosis and providing accurate treatment.
I would argue these are the most important areas to target. We need tremendous reform in this area, and if we can demonstrate meaningful improvement over what we have now, maybe we can let doctors get back to actually treating patients and not spending the majority of their time checking boxes on a computer.
What is a successful surgery? One with the least complications? No complications? Shortest recovery time? Best return to function? Best outcome for that particular patient?
It's not an easy question to answer.
Off the top of my head, I think they sold a router, mostly pre-configured with ddwrt, that you plugged in your info for PrivateInternetAccess and used them as the VPN. Could be wrong though.
Edit: Here's what I was talking about: https://easyvpnrouter.com/. May or may not meet your needs
Unless someone can point out why it's not what it's cracked up to be? Seems like a rather easy-to-setup solution, somewhere between straight up paying a service and rolling everything yourself (I do pay PIA, but I've found that, not infrequently, my speeds are drastically throttled. I'll be actively downloading a file while connected at 400kb/s, cancel the download, disconnect from them, restart the same file, and be at 10mbit/s. I have no doubt some of that is due to the nature of the VPN, but I can't imagine all of it is. But, I'm not not a network engineer.)
I was doing training at one hospital where, when they admitted a patient to the floor from the ED, had to print out the entire EMR, because the EMR in the ED and the floor was not compatible. Insanity.
I've likewise been extremely interested in reforming EMRs. It's a precarious field to get into, but I am definitely very interested in pursuing it (perhaps after medical school, though).
You know, I don't think I ever consciously had that thought, but since you mentioned it - I think I wholeheartedly agree with the statement.
I would never describe the summers as "hellish" nor the winters as "ball-shriveling". I thoroughly enjoy the tremendous variety through all the seasons. I would say there isn't "1 week of pleasant weather", but rather, a year of tremendously varying, enjoyable weather.
But, of course, that's sort of the point - to each their own.
A very American problem. Speaking with some of my Canadian colleagues, recommendations for cannabis usage in managing pain and other conditions is much more frequent.