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落花飄零 (熱門博主)
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醫學生

(2007-09-07 19:02:43) 下一個



今天跟老伯伯醫生去給兩年級的醫學生上課。

走進教室,頭一暈。燈光明亮的教室裏,年輕的醫學生們精神飽滿,目光如炬,最厲害的是,孩子們桌子上都是顏色各異的筆記本,有的手裏還拿著PDA,這陣勢不知道怎麽讓我想起以前看Legally Blonde裏麵法學院上課的情形。

看看自己,隻帶了一支筆,幾份上課要用的paper,簡直像一個上個世紀裏跑出來的古董。

兩個小時的課強度還是很大的,所幸上課的內容,都可以在內部網站上下載,讓學生們在課後消化。不懂的地方還可以在網站上向教授提問。三個星期後結束就要考試。

美國醫學生上課還是挺認真的,問問題很及時,可以看出來他們是在不停地思考,跟隨講師的思路的。因為是二年級的孩子,很多臨床術語對他們還很陌生,屏幕上出現陌生的術語時,他們都會立即舉手提問。一旦解釋以後,接受起來很快。

走回醫院的時候,忍不住回想自己在醫學院兩年級的時候,是什麽情形,好像大多數時候,是和同桌說話,吃零食,還有打瞌睡。然後都是等到期末抱佛腳。不過那時候沒有這麽花樣繁多的教學模式,就是薄膜投影,容易覺得枯燥。最重要的是,美國醫學生入學不易,大多都背著巨額貸款,所以和我們當年的動力,真是天差地遠。
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醉清風. 回複 悄悄話 落花, 好久不來了. 先問好, 並祝好。

今年為了做第二階段longitudinal research, 參加了個同聲傳譯大課程。主要目的是為了接觸PARTICIPANTS,當然了再提高英文在專業場景下的有效而有力的表述也是另一個初衷。

我們翻譯再第一年分兩個方向:LEGAL—HEALTH。這兩個都要修。
LEGAL還好,這HEALTH頭就大了。
主要是TERMINOLOGY,太難記了。平時新聞傳遞的內容相關信息也有限。

請問有沒有記醫學詞匯的巧法,除了詞根,前後綴等。
最好是有有聲教材,通過耳膜刺激,我才能把單詞記得更牢。

謝謝

小墨水
AppleFlower 回複 悄悄話 Thanks for the tips, LuoHua. Wow! You can check patients' vital from your PDA! I don't think we can do that here. Another difference between Canada and USA, we are not nearly as high tech here.

Internal medicine, that sounds very interesting. I used to think that's what I want to do, but I'm very much put off by all the overnight calls that's required. So, now, it's more like my choice #2 or #3.
落花飄零 回複 悄悄話 Appleflower, thank you very much for the detailed answer.

The gap between US/Canada and Chinese medical education does exist, I clearly feel it even if i didn't attend the medical school here.

Just like you mentioned, evident based practice is a major focus of medical education here while in China we still lack a efficient system to build up reasonable data base.

I am currently in internal medicine residency, I love it because internal medicine is a broad spectrum practice and therefore very challenging. I feel like working as a detective to search for the clues and find out the hidden criminal. Lots of fun.

The program I am working now offers free PDA with epocrates installed. I don't think medical student needs this software yet because it's more for practicing physician.

Uptodate is an excellent reference website, hospital has full access to it and my pda can connect to hospital system. Also I use PDA to check my patient's vitals, labs and other stuff when I am in conference.

Thomson MicroMedex is a pharmacy PDA software that very useful for drug interaction check, epocrates is not as complete and efficient as this one. but again, i don't think as med students, you will really need it.

I also have the account of MD consult, which I don't appreciate it too much because it's inconvinience.
AppleFlower 回複 悄悄話 Luo Hua,

I think PDAs become necessary for med students partly because there's a big push in Canada towards evidence based practice. In one of the teaching clinics at the university I'm in, the residents are required to read up about their patient's condition before reporting to the attending. UpToDate is the program that clinic has on their computer. The PDAs aren't required by the schools, but if all your classmates have one and you don't, you're definitely at a disadvantage. The culture of the medical profession here is very different from China, everyone here is extremely competitive. I was on an exchange program a year ago and spent a month in Fudan Medical School, everyone there is so much more relaxed than here.

The program everyone has on their PDAs in my school is UpToDate, in fact, we had a class order of that too. :) I also have the free version of Epocrates on mine. One of my preceptors has also recommended the 5 minutes consult and the Washington Manual. Any programs you recommend?

I'm currently a 醫學生 in Canada. :) As for what specialty, that's the thing that's giving me the biggest headache right now. I sort of need to decide by next March, but I really can't decide. What about you? What residency program are you in?

Hope you're having a good Sunday.

落花飄零 回複 悄悄話 thank you appleflower.;) I didn't know that. hehe.
why do you think PDA is mandatory for med student? just curious, what kind of software you usually use?
so you are in medical school now? cool! have you thought about what specialty to go yet?
AppleFlower 回複 悄悄話 Luo Hua,

I think PDAs are almost mandatory for med students in North America. I don't even know any med students who still don't have a PDA in their 3rd and 4th year. My class actually made a class order when we were in 2nd year.

落花飄零 回複 悄悄話 zhaoju好。。

有醫學生的residency program,都有教學任務,對我們住院醫生來說,一般就是平時一起查房值班,上課不是義務的,一般program挑幾個住院醫生給醫學生們上體檢,收集病史這類的小課。

給學生上課可以鞏固自己的知識,而且有額外的收入,嘻嘻。

不過今天是正式的大課,隻是給老伯伯作助手,純粹義務。
zhaoju2000 回複 悄悄話 落花,你在課堂上講課還是給老伯伯當助手?是不是住院醫師都有做助教的要求?
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