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Medical Education - Page 17


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3. Do not ignore the advice of residents and nurses. Their experience and judg-
ment can be very helpful in avoiding costly errors or embarassing situations.
A number of schools offer formal training in technical skills such as venipuncture.
Such introductory courses most frequently teach "universal precautions," such as han-
dling needles and wearing protective gear. Existing programs, however, vary from a
five-day intensive course to ad hoc training at the hospital.
Fourth-year Guidelines
The fourth year represents the final stages before assuming the responsibilities of post-
graduate education. The knowledge and experience acquired during the first three years
will be put to use during this year of intensive clinical training.
A number of admonitions are in order as the student now proceeds toward the prac-
tice of medicine.
1. The principal goal in practicing medicine should be the satisfaction gained
through service to others.
2. The essence of good medicine is to reach a diagnosis on the basis of a carefully
secured, complete history and physical examination, supplemented, where nec-
essary, by laboratory findings. The lab results should not be used, however, to
negate the results of a good "workup," nor should they serve per se as a diag-
nostic tool.
3. Patients tend to place physicians on a pedestal. By recognizing that the majority
of illnesses are self-limiting, physicians should realize that often the services
they render only provide reassurance and make the patient comfortable. This
should promote an attitude of humility that can counteract the ego-stimulating
factor inherent in the practice of medicine.
4. While medicine is an inexact science, its practice nevertheless requires one to
be as exact as possible. Nothing should be taken for granted; otherwise, unfore-
seen complications can ensue.
5. It should always be recognized that it is the patient who is ill, and that it is the
patient, not the disease, that should be treated.
6. There is a critical need to remain up to date by reading the current literature and
attending meetings. This will ensure quality health care and maintenance of an
intellectually stimulating quality in the practice of medicine.
7. Responsibility to the profession calls for the practitioner to set the best possible
example in appearance, speech, and behavior.
8. The goal should not be solely to gain an education by isolating oneself from
world affairs and one's community. By remaining alert to what is transpiring
and being as active as possible, one meets the broader responsibilities associ-
ated with the title "Doctor."
Goals to Strive for in Medical School
The premedical college years can, in some cases, have a negative impact because of the
competition for a place in the entering class. Those gaining admission are usually
achievers of high grades that have been attained by intensive studying. This generates
an attitude where learning becomes a chore rather than a pleasure.
The goals in medical school should be associated with the learning process. They
should be to:
1. learn how to develop and maintain a love for knowledge;
2. learn to develop and maintain a balanced lifestyle incorporating work, relax-
ation, rewarding relationships, and varying interests;
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