Comments on: The importance of patient volume for learning http://www.medrants.com/archives/4599 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Guest http://www.medrants.com/archives/4599/comment-page-1#comment-528579 Guest Sun, 12 Jul 2009 00:28:14 +0000 http://www.medrants.com/?p=4599#comment-528579 I went to a medical school without its own academic medical center. Instead, we spent third year at mostly community hospitals. Many had residency training programs, but most of the attendings were private attendings. As a 3rd year student I was asked to see about 12 patients a day and do about 4 admissions a day. Those are intern-like numbers, and many more than most of my colleagues at academic medical centers. I know because I did electives at academic medical centers. When studying for the USMLE Step 2, I found studying to be very easy. When I took my first practice test, my initial score was over 240. With 3 weeks of studying a great deal, my final score went from a 249 Step 1 to a 270 on my Step 2 (a 21 point jump). If you ask me, my increase was do to the volume of patients that I saw. At the time (and maybe even in retrospect) I was asked to see too many patients as a third year student, but somehow seeing all of those patients really prepared me (1) for my examination and (2) for my Sub-I's at major academic medical centers the following year. "The student begins with the patient, continues with the patient, and ends with the patient, using books and lectures as tools, as a means to an end" Sir William Osler I went to a medical school without its own academic medical center. Instead, we spent third year at mostly community hospitals. Many had residency training programs, but most of the attendings were private attendings. As a 3rd year student I was asked to see about 12 patients a day and do about 4 admissions a day. Those are intern-like numbers, and many more than most of my colleagues at academic medical centers. I know because I did electives at academic medical centers.

When studying for the USMLE Step 2, I found studying to be very easy. When I took my first practice test, my initial score was over 240. With 3 weeks of studying a great deal, my final score went from a 249 Step 1 to a 270 on my Step 2 (a 21 point jump). If you ask me, my increase was do to the volume of patients that I saw. At the time (and maybe even in retrospect) I was asked to see too many patients as a third year student, but somehow seeing all of those patients really prepared me (1) for my examination and (2) for my Sub-I’s at major academic medical centers the following year.

“The student begins with the patient, continues with the patient, and ends with the patient, using books and lectures as tools, as a means to an end”
Sir William Osler

]]> By: Matt S. http://www.medrants.com/archives/4599/comment-page-1#comment-528522 Matt S. Wed, 01 Jul 2009 13:36:39 +0000 http://www.medrants.com/?p=4599#comment-528522 One of my attendings at UAB (I think it was Dr. Eloubeidi in GI) that told me to give as many prepared presentations in front of groups as I could. He said you retain a small amount of what you hear, and a little bit more of what you do. But if you can take one of your cases, go over the material, and distill it into a lecture, that learning will stick with you a lot longer. One of my attendings at UAB (I think it was Dr. Eloubeidi in GI) that told me to give as many prepared presentations in front of groups as I could.
He said you retain a small amount of what you hear, and a little bit more of what you do. But if you can take one of your cases, go over the material, and distill it into a lecture, that learning will stick with you a lot longer.

]]> By: Web Media Daily – July 1, 2009 | Reinventing Yourself... http://www.medrants.com/archives/4599/comment-page-1#comment-528520 Web Media Daily – July 1, 2009 | Reinventing Yourself... Wed, 01 Jul 2009 12:56:23 +0000 http://www.medrants.com/?p=4599#comment-528520 [...] The importance of patient volume for learning …DB’s Medical Rants [...] [...] The importance of patient volume for learning …DB’s Medical Rants [...]

]]> By: Twitted by medrants http://www.medrants.com/archives/4599/comment-page-1#comment-528519 Twitted by medrants Wed, 01 Jul 2009 12:16:07 +0000 http://www.medrants.com/?p=4599#comment-528519 [...] This post was Twitted by medrants [...] [...] This post was Twitted by medrants [...]

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