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i don't hate my medical school, but i was wondering if anyone out there hates theirs and, if so, why?
I believe we go to the same school... and I have the same exact complaints. I like it overall, especially now that we're into BOD and it's fairly interesting, but last year... man, that was boring and pretty useless - especially some of those PBL cases! Argh.robotsonic said:I don't hate my med school, and I certainly had a good time here. But now that I'm a fourth year and I'm looking back, there are definitely things I would have changed about my medical education.
A lot of these things are aspects of medical schools that I thought were positives when I applied. For example, I chose a school with PBL because I liked the concept as it was presented, but I found that droning on and on about the minutiae of some uncommon disorder is actually boring and not really an efficient use of time (which is what we often did in PBL). My school is also one that "does not teach to the Boards." No, really, it doesn't; in fact, many of us are pretty unprepared for step 1 when we have to start studying for it. Many of us learn pharmacology and microbiology for the FIRST TIME when we study for step 1. My school is ranked highly, but that is just sad. Instead of all those pointless lectures with famous scientists talking about their oh-so-interesting research on the configuration of Protein 235JK9820, maybe we could have had a few more lessons on pharm, or on the genetic enzyme-deficiency disorders that most of us hadn't heard of until we read First Aid for Step 1. In the end I did fine on step 1, but I still feel like there was a ton of important information in the exam that I had not been taught in my first two years.
Also, pre-meds often think that "early clinical exposure" is a bonus, as I thought. My school brags that one day a week is spent working with physicians in their clinics. The truth is that you don't have a freaking clue what you are doing yet, so you end up just shadowing a physician, which is boring and utterly pointless. Before you actually learn a few things about medicine, you don't get much out of these experiences (and yet they take up a lot of time).
So I don't hate my school, but it does have a few areas to improve.
MedicineBird said:I don't suppose I hate it but not a day goes by that I don't wonder if I made a poor choice in coming here. A lot of days I feel like I was duped. It was actually my New Year's resolution to get over it because there's nothing I can do about it now. I need to try to find my place here. I try to tell myself that it's just a case of the grass looking greener on the other side of the fence but I know that's not all true. **sigh**
MedicineBird said:I don't suppose I hate it but not a day goes by that I don't wonder if I made a poor choice in coming here. A lot of days I feel like I was duped. It was actually my New Year's resolution to get over it because there's nothing I can do about it now. I need to try to find my place here. I try to tell myself that it's just a case of the grass looking greener on the other side of the fence but I know that's not all true. **sigh**
MedicineBird said:I don't suppose I hate it but not a day goes by that I don't wonder if I made a poor choice in coming here. A lot of days I feel like I was duped. It was actually my New Year's resolution to get over it because there's nothing I can do about it now. I need to try to find my place here. I try to tell myself that it's just a case of the grass looking greener on the other side of the fence but I know that's not all true. **sigh**
SpeedRacer said:what school are you at?
I love a person who can recognize irony.tupac_don said:How Fitting your avatar is then!!!!!!!!!!! With you being duped and all.
robotsonic said:...For example, I chose a school with PBL because I liked the concept as it was presented, but I found that droning on and on about the minutiae of some uncommon disorder is actually boring and not really an efficient use of time (which is what we often did in PBL).
Do we go to the same school ? I couldn't agree more with your post, especially the hit list.emack said:However, on the other hand, PBL is grossly inefficient as a means of shovelling massive amounts of data into our tender young brains. It verges on painfully boring at times (ex. listening to a classmate stumble through a clumsy explanation that a lecturer could synthesize into two sentences). It stands it stark contrast to how we're actually going to be tested (i.e. on our own). And while one is less likely to nod off, one is more likely to have a hit list of selected classmates with whom one has uncovered irreconcilable personality conflicts.
I don't even think that this is true. When I applied to med school, I thought, "Wow, PBL is awesome because you approach the problems just like a real physician would." But then I got to the wards... and no, the interactions and thought processes in PBL are most certainly not what occurs on the floors. Surprise, real physicians actually DON'T spend 3 hours discussing the cell signalling pathways involved in esophageal cancer. PBL at my school doesn't approximate how medicine is actually practiced at all.emack said:It may serve as some vague approximation of how medicine is practiced in the real world (YAY TEAMWORK!).
emack said:I also have to complain about PBL. It's not that I hate it that much. What I hate is that my school prides itself so freakin' much on being a PBL school. Its sanctity as the highest bastion of collegial learning must not be defamed. If you mutter "Man... that tutorial was 3 hours of my life I'll never get back" you get dirty looks from the diehard PBL keeners.
PBL can be entertaining (usually in inverse proportion to how efficient/on-topic your discussion is). It may serve as some vague approximation of how medicine is practiced in the real world (YAY TEAMWORK!). It's a great way to get to know your classmates. And one is less likely to fall asleep than during a lecture.
However, on the other hand, PBL is grossly inefficient as a means of shovelling massive amounts of data into our tender young brains. It verges on painfully boring at times (ex. listening to a classmate stumble through a clumsy explanation that a lecturer could synthesize into two sentences). It stands it stark contrast to how we're actually going to be tested (i.e. on our own). And while one is less likely to nod off, one is more likely to have a hit list of selected classmates with whom one has uncovered irreconcilable personality conflicts.
I'd say that it's about 80% worthless. Shadowing is pointless; learning how to interview patients can be done in a few sessions; physical exam is more involved, but honestly I agree with the above posters: i need the time I waste commuting back and forth from my preceptor to study the idiotic minutia we get fed at school while trying to simultaneously study for the boards. *sigh*.mudpie said:Do you really think the clinical experiences in the first two year are worthless?
MedicineBird said:I don't think this conversation was about whether or not we like studying medicine, rather if we are happy with our choice of school.
mudpie said:Do you really think the clinical experiences in the first two year are worthless?
SkylineMD said:You can learn HPI in less than an hour and perfect it by a few days of just interviewing patients. The physical exam can be practiced to perfection (this can take longer but still easily done within multiple patient examinations).
MedicineBird said:hehehe - as disillusioned as I may be, I'm not yet at the point of public defamation. although, if you peruse my other posts I'm certain you'll figure it out.
This is true, but as a first and second year med student, you sure as hell aren't going to perfect your skills at doing histories and physicals. I think it may actually be worse to start learning that in your first and second year, since your lack of medical knowledge forces you to ask the whole laundry list of questions - and not actually learn to tailor your history/exam to what the chief complaint is.Misterioso said:Histories and physical exams are not something you can learn, nevertheless perfect, in such a short amount of time... It takes much more practice to be able to put it all together and consolidate your findings. Most residents don't even have it perfected.
Misterioso said:That's not really true. Histories and physical exams are not something you can learn, nevertheless perfect, in such a short amount of time. You don't need to even be a med student to memorize a laundry list of questions to regurgitate for a history or the motions to go through for a physical exam, but that's not really taking a history and physical--that's just acting like you are. It takes much more practice to be able to put it all together and consolidate your findings. Most residents don't even have it perfected.
Antiviral22 said:Misterioso, I agree with you 100%. I'm a first year student at a unique medical school that I gravitated to instantly and I'm very happy with my choice. All first year students, beginning one month into the program, clearly without any medical knowledge, are brought to interview real patients. The idea of this is based on the fact that, without diagnostic knowledge, the student cannot "just focus on the chief complaint" or quickly just "get to the problem list." What this does is force the student to focus on listening skills, help the patient narrate their story, and most importantly, get a very detailed picture of their social history and context of disease. Sometimes the interview can go on for 20 minutes depending on how much the patient discusses (and how well you direct). Some of you may not see the point of this, but I feel it's a vital part of good doctoring. I think it's a wonderful idea to keep MS1's and 2's from slipping away too far into hard-science land and remind us that illness invades real people with real lives.
CaddisHatch said:I am surprised to hear that most people find the clincial experiences in MS1 and MS2 to be useless!
It is by far the best part of my week, but it may be the preceptor that I have. She is very willing to let me do procedures that I never thought I would be doing as a MS1. When I am just observing/shadowing her, I'll admit that a lot of the times I am lost as to what is going on, but I use that as a time to absorb what is going on and the next time we see a patient with a similar complaint, I actually know what is going on. It is amazing how much more I retain from the tidbits of info I learn in the clinic compared to an hour of studying from a book.
It is a great break from the PBL/lecture mire of the rest of my week and helps me to keep perspective. It may be that my school in particular prepares very good lectures that are clinically relevant, but I actually see a fair number of the diseases/tests/treatments we discuss in class come up in clinic. Of course there will always be those obscure things that you have to learn for an exam or the professor who lectures about the minutiae of their work, but on the whole, I really like my school and the clincial exposure in particular.
for those that are interested, I go to U of Colorado SOM.
hakksar said:I think U of Colorado is different from most schools in the way it handles its early clinical experience. The fact that we have the same preceptor every week who gets to know us and become comfortable teaching us and allowing us to do things means that it is actually an opportunity to learn pathophys and clinical reasoning instead of just shadowing. I am not really sure how other schools do it but I know some of the others just have shadowing opportunities or precept with several different physicians. Also, I think the fact that the program is graduated with increasing responsibility as you go through the foundations program also allows it to be a good learning experience when others are not. This may be why you have such a different perspective than others on this board.
Biscuit799 said:First, not only does my school have letter grades (A-F), but it also has plus/minus grading. I'd much rather see a P/F or H/P/F system in place. It makes it seem that we're back in undergrad where you would study for an A rather than to learn the material; and let me tell you how frustrating it is to miss and A by .03 points.
DOCTORSAIB said:I'm actually very happy at my school. Couldn't have asked for a better learning environment. Pre-clinical education is solid. Let's how 3rd and 4th year turns out.
fredmanny said:Yeahhhh...that's because you're at a DO school. I wonder how much you'll appreciate your cushy first two years once you find out that you can't get into any competitive allopathic residencies....
robotsonic said:This is true, but as a first and second year med student, you sure as hell aren't going to perfect your skills at doing histories and physicals. I think it may actually be worse to start learning that in your first and second year, since your lack of medical knowledge forces you to ask the whole laundry list of questions - and not actually learn to tailor your history/exam to what the chief complaint is.
Patience, young grasshopper- in order to "learn to tailor your history/exam", you must first learn to cover the "laundry list". Nobody expects you to know much about the medical conditions.
I sense there are many 1st/2nd year students posting in this thread- i know taking a half day to shadow a physician seems like wasted time now, but the skills needed to build a good physician-patient relationship are continually acquired throughout your entire career. It is extremely important to start early. You may think you've already mastered history taking skills after a few afternoons- but wait until the first time you are on call during your third year and your resident sends you to the ER to do an H&P. Without any prior experience with patients, you would be completely lost, jeopardizing the patient's medical care.
Huh? You think I'm a second year? I'm a fourth year, applying in general surgery. Check my other posts - I know a little too much about surgery interviews to just be a first year.zack_morris said:I sense there are many 1st/2nd year students posting in this thread- i know taking a half day to shadow a physician seems like wasted time now, but the skills needed to build a good physician-patient relationship are continually acquired throughout your entire career. It is extremely important to start early. You may think you've already mastered history taking skills after a few afternoons- but wait until the first time you are on call during your third year and your resident sends you to the ER to do an H&P. Without any prior experience with patients, you would be completely lost, jeopardizing the patient's medical care.
robotsonic said:Huh? You think I'm a second year? I'm a fourth year, applying in general surgery. Check my other posts - I know a little too much about surgery interviews to just be a first year.
Easy, fella. I wasn't referring to you with the 1st/2nd year comments- you made it clear earlier that you already finished these years. This is actually pretty funny, as i am a 4th year applying in anesthesia. We seem to be butting heads before beginning residency.....
robotsonic said:Huh? You think I'm a second year? I'm a fourth year, applying in general surgery. Check my other posts - I know a little too much about surgery interviews to just be a first year.
Easy, fella. I wasn't referring to you with the 1st/2nd year comments- you made it clear earlier that you already finished these years. This is actually pretty funny, as i am a 4th year applying in anesthesia. We seem to be butting heads before beginning residency.....
Pompacil said:<-------------
Ahem.
azzarah said:I don't hate my med school per se....just med school in general. can't wait to be done! you fourth years are so lucky!
Pompacil said:<-------------
Ahem.