http://betterhealth.disqus.com/enSat, 06 Dec 2008 19:25:28 -0000http://blog.getbetterhealth.com/should-doctors-go-to-finishing-school/2008.12.05#comment-6291868<p>Hmm.. I wonder if some of the physicians I've encountered should go back to pre-school for some much needed training.</p><p>It's tough out there.</p>Strong OneSat, 06 Dec 2008 19:25:28 -0000http://blog.getbetterhealth.com/should-doctors-go-to-finishing-school/2008.12.05#comment-6291866<p>I am of two minds about this topic. On one hand, I agree with you; much of the common human decency and acceptable social behaviour should have been learned in kindergarten and/or at home. And I have seen appalling things from my classmates and colleagues in dealing with patients, either real or fake.</p><p>On the other hand, the patient/doctor encounter can be intimidating to trainees. When I started doing simulated interviews in my Clinical Skills class, I was surprised at how much like an acting performance it was. It felt like I was on stage, the adrenaline started flowing, and I clicked into performance mode. For students who aren't prepared for this, I suspect that many of them aren't being rude, they are simply frozen with terror.</p><p>As anyone who has taken music lessons should know, the best way to prepare for the stress of performance is to go through the motions beforehand. When I was preparing students for a performance, I would have them walk through the motions many times: the walk on stage, the getting ready to perform, the signals to the accompanist, the bow afterwards, the walk off stage. Every movement coreographed and (hopefully) imprinted into muscle memory so that when the adrenaline starts flowing (and the brain shuts off) the performer can still do the right and gracious thing.</p><p>I think that checklists coreographing an "ideal" patient encounter could be a very useful tool for helping students learn how to deal with the very real stress involved in seeing patients. But as with any tool, they need to be discarded as students become more comfortable dealing with real patients and develop their own personal style.</p>Beach BumSat, 06 Dec 2008 07:32:54 -0000http://blog.getbetterhealth.com/should-doctors-go-to-finishing-school/2008.12.05#comment-6291867<p>don't forget a medical school entrance selection process that does allow for a disproportionate amount of individuals who needed this from day one. Sure med student applicants have to show volunteer work and other "soft" things on their apps, but truth be told, if you have the academics, you can fake the "humanity" to get in. Once in, well you're in, who cares, right?</p><p>It's true.</p>enricoSat, 06 Dec 2008 01:04:41 -0000