Posts tagged wisdom

Finishing Internal Exam Part Two

I thought the exam overall went pretty well. Having only had two oral exams though, this one included, I still find the practice to be very awkward and disjointed.

For example, the examiner goes by a script and does not move to the next section until I have finished my answer and will tell me information afterwards that I may not have requested because it is in the script. Though I had a list of investigations I wanted to have done, the timing of some of them was inappropriate for that particular moment and I was reserving them for - in my mind - a later point in the case as it unfolded. It was a terrible mistake and easy points were lost.

Having said that, I feel that I eventually did come to the right diagnoses for the cases I had, though my process getting there could definitely have been slicker and more thorough.

Lesson learned.

For last year’s words belong to last year’s language
And next year’s words await another voice.
And to make an end is to make a beginning.
T.S. Eliot
Wherever the art of Medicine is loved, there is also a love of Humanity.
Do not be embarrassed of your right to learn, to practice, and to be wrong. It is why we are all here and why we get better.
A doctor speaks after I apologize for presenting a case poorly.
The fact that you are willing to admit that you do not know and that the amount of knowledge you still do not have scares you already shows me that you will make a great doctor. It is not a weakness.
A resident’s supportive feedback regarding my fears and concerns of learning in medicine.
When you are a still starting off, everything is new and everything is exciting. Once you have seen a condition a few times that novelty factor wears off. In all of my years, I have already seen so many wild things that my wow-factor threshold has gone up and up. I would need something crazy like diagnosing Tangier’s disease to get me as excited as I did as a student.
An older doctor who has many years of experience practicing in different parts of the world discusses the natural progression of human fascination.
Sure, I have been practicing for a long time, but I still do not know what is waiting for me behind that door sometimes. Even with all that practice, training, and experience, I still get scared.
A doctor discusses the feelings of uncertainty that follows us whenever and wherever we practice.
I remember being so scared of seeing patients once because I felt like I was only a doctor on paper. I felt like a fraud, thinking, ‘these people do not want my care. What could I do for them?’ But then one day it will all sink in. You will realize that the body is just a giant machine and when something breaks, it manifests in predictable ways. Once you recognize those patterns, you will feel more comfortable doing what you need to do.
A doctor reassures me about overcoming the anxiety of taking on more responsibility in a patient’s care.
Children today are tyrants. They contradict their parents, gobble their food, and tyrannize their teachers.
Socrates, 470-399 BC
He who studies medicine without books sails an uncharted sea,
but he who studies medicine without patients does not go to sea at all.
Sir William Osler