Comments on: Blink http://www.medrants.com/archives/2555 Contemplating medicine and the health care system Thu, 11 Mar 2010 17:55:26 +0000 http://wordpress.org/?v=2.9.2 hourly 1 By: Dr. Bob http://www.medrants.com/archives/2555/comment-page-1#comment-82172 Dr. Bob Tue, 25 Oct 2005 03:16:47 +0000 http://medrants.com/?p=2555#comment-82172 Read it and liked it. Made me think about the first year of residency when you develop that sense of "Oh no, this patient is really sick." Or even when the patient's get that sense as well - "Doc, I think I'm going to die!", turning our "Oh no" into "Oh shit." Now that I'm teaching, it's interesting to watch the residents begin to learn this (unfortunately some take quite awhile which is pretty stressful when I'm supervising them). The Reilly/Goldman section brought to mind the resistance some physicians have to guidelines and protocols. Maybe some of us tend to rely on that sense a little too much, explaining why sometimes the protocols and guidelines often work better. This is often derided as "cookbook medicine" out of the fear that we will be replaced by lesser trained personnel with protocols. I think it's a misplaced fear as you still have to be smart enough to know when to ignore/overrule the protocols. Read it and liked it. Made me think about the first year of residency when you develop that sense of “Oh no, this patient is really sick.” Or even when the patient’s get that sense as well – “Doc, I think I’m going to die!”, turning our “Oh no” into “Oh shit.” Now that I’m teaching, it’s interesting to watch the residents begin to learn this (unfortunately some take quite awhile which is pretty stressful when I’m supervising them).

The Reilly/Goldman section brought to mind the resistance some physicians have to guidelines and protocols. Maybe some of us tend to rely on that sense a little too much, explaining why sometimes the protocols and guidelines often work better. This is often derided as “cookbook medicine” out of the fear that we will be replaced by lesser trained personnel with protocols. I think it’s a misplaced fear as you still have to be smart enough to know when to ignore/overrule the protocols.

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