I really enjoyed our conversations today, especially following the Lewis Blackman film, The biggest concept I struggled with throughout the day was the issue of efficiency vs thoroughness. I felt this was relevant to almost every issue we discussed, though only mentioned a couple times. Many of the practices we discussed are not performed because of the issue of efficiency; either students/residents don’t have enough time or they do not want to appear to be an inefficient team member.
For example, take the simple concept of just listening to your patient and gathering a history. As a third year medical student, I am only following 3-4 patients, and can spend a good amount of time gathering a thorough history. I try not to interrupt patients and I ask about every symptom I can possibly think of, go check uptodate, and come back and ask about more symptoms that can help… Continue reading